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. 2021 Dec;69(12):3740-3742.
doi: 10.4103/ijo.IJO_652_21.

Tuck-and-pull technique for posterior chamber phakic intraocular lens explantation

Efekan Coskunseven  1 , Belma Kayhan  2 , Mirko R Jankov Ii  3
Affiliations

Tuck-and-pull technique for posterior chamber phakic intraocular lens explantation

Efekan Coskunseven et al. Indian J Ophthalmol. 2021 Dec.

Abstract

The tuck-and-pull technique was developed for practical and safe explantations of posterior chamber phakic intraocular lenses (PCPIOLs). In this technique, after the creation of a side port, viscoelastic (or OVD [ophthalmic viscosurgical device]) is initially injected behind the PCPIOL to widen the space between PCPIOL and the crystalline lens. The old incisions can be used after recent implantations rendering the enlargement of the main incision unnecessary. After additional OVD over and under the PCPIOL, the haptic is tucked by a chopper and pulled through the main incision with a single maneuver. The haptic is grasped by two suture forceps and explanted with a "hand-to-hand" maneuver. The tuck-and-pull technique provided high protection of the corneal endothelium, crystalline lens, anterior chamber structures, and the PCPIOL itself. This technique is a practical, easy, and safe approach for explantations of all PCPIOL types, whatever the reason for its explantation may be.

Keywords: Explantation; ICL; myopia; new technique; posterior chamber phakic IOL.

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Conflict of interest statement

None

Figures

Figure 1
Figure 1
Tuck-and-pull technique. (a) Opening of the previous side port with a blunt tip of LASIK spatula. (b) Injection of OVD behind the PCPIOL. (c) Injection of OVD into the anterior chamber. (d)The original main incision is easily found with a blunt LASIK spatula or a Sinskey hook. (e) The nearest PCPIOL haptic is elevated with the additional injection of OVD under the PCPIOL. (f) The haptic is hooked and tucked with a blunted tip chopper. (g) The tucked haptic is pulled through the main incision. (h) The haptic is taken out by suture forceps with a “hand-to-hand” maneuver
See this image and copyright information in PMC

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