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-Iris claw retropupillary fixation advantages: IOL is placed behind the iris , preserving corneal endothelium.
-The advantages of this maneuver:
2- Ensure the correct implant in the middle periphery of the iris and correct centration of the IOL,
3- Allows to perform it with only one hand
4- Allows IOL to be maintained in control without the risk of posterior luxation.
The technique only takes to Insert a prolene straight needle (17,00 mm in length) limbus-to-limbus (3 and 9 o’clock) in the center of the pupil. Then insert in anterior chamber the IOL using a fixation forceps with the concavity of the IOL up. Keeping holding always the IOL pass one side behind the iris and with a up-tilt move towards the needle location, fixate the haptic. Without loosing the IOL repeat the maneuver in the other side. At the end the needle is removed.
This presentation is from the session "SYM-308: ASCRS TOPGUN 2019: Essential Pearls from the Best International Phaco Instructors" from the 2019 ASCRS Annual Meeting held on May 4-7, 2019 in San Diego, California.