Simple ab externo lens capsule removal in intraocular lens reuse and intrascleral fixation for intracapsular lens dislocation: A case report

Description

Suguru Nakagawa and Kiyoshi Ishii report a simple fix for a slipped artificial lens inside its own capsule, in a 2024 case report. Their patient, a 43-year-old man, had received the lens a decade earlier during retinal surgery. The lens, still wrapped in its full capsule, had dropped into the eye's rear cavity. To reuse it, the lens had to be freed of that wrapping.

Working from outside the eye, the surgeons lifted each spring arm of the lens through the wound in turn. They stripped the capsule and its ring from each arm while it sat outside, then tucked it back. The cleaned lens was anchored inside the wall of the eye with a flange method. A week later the eye saw sharply, and its front surface cell count held up well. The authors call the outside route quick and clean.

Catalog record

Source: https://europepmc.org/articles/PMC11630924