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- W2141174176 abstract "The article by Wenzel and coauthors1 describes a novel method for injecting the single-piece hydrophobic AcrySof SA60AT (Alcon) foldable intraocular lens (IOL) without the use of a forceps or an injector. The use of injectable IOLs is increasing because they are easier and quicker to insert and have other potential benefits including minimizing the risk for endophthalmitis,2 implant damage,3 and surgically induced astigmatism.4 However, there have also been reports of complications with the system, including damage to the haptics during folding and cracked cartridges.5 We have developed a modified technique of IOL injection without an injector that is suitable for use with the Akkommodative 1CU (HumanOptics AG). During routine phacoemulsification, the injector was inadvertently desterilized. Because a replacement injector was not immediately available, we devised an alternative method of injection. The IOL was positioned as normal in the folding cartridge with an ophthalmic viscosurgical device, and folding was completed per the manufacturer's instructions. The blunt end of a wooden cotton bud was used to gently advance the IOL through the cartridge. The cartridge was inserted into a 2.75 mm corneal wound and directed toward the capsular bag. The wooden cotton bud tip was malleable enough to fully enter the cartridge, delivering the IOL smoothly and safely into the eye. Our method should not be used as standard practice; however, in emergencies in which the rod fails or, as in our case, becomes desterilized, it is an inexpensive and easy method for completing the operation. Emily C. Fletcher MRCOphth Simon D.M. Chen FRCOphth C. K. Patel FRCOphth Oxford, United Kingdom" @default.
- W2141174176 created "2016-06-24" @default.
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- W2141174176 date "2004-12-01" @default.
- W2141174176 modified "2023-09-25" @default.
- W2141174176 title "How to inject the HumanOptics 1CU without an injector" @default.
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- W2141174176 doi "https://doi.org/10.1016/j.jcrs.2004.10.018" @default.
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