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Trocar blade-assisted skewer technique for phacoemulsification of a dislocated lens

1 Department of Ophthalmology, Linkou Medical Center, Chang Gung Memorial Hospital; School of Traditional Chinese Medicine, Chang Gung University, Taoyuan, Taiwan
2 Department of Ophthalmology, Linkou Medical Center, Chang Gung Memorial Hospital; College of Medicine, Chang Gung University, Taoyuan, Taiwan
3 College of Medicine, Chang Gung University, Taoyuan; Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung, Taiwan
4 Department of Ophthalmology, Cheng Hsin General Hospital, Taipei, Taiwan

Correspondence Address:
Laura Liu,
No. 5, Fu-Hsing Street, Kuei Shan, Taoyuan 333
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.TJO-D-22-00138

A posteriorly dislocated lens is often managed with a fragmatome through a pars plana approach because it is difficult to manage anteriorly. The lens often sinks to the surface of the retina or floats around in the vitreous cavity during pars plana lensectomy. Mechanical trauma can occur while removing the dislocated lens fragments. However, sometimes the lens can be confined to the anterior vitreous cavity even though the zonules are completely disrupted. It would be ideal if there was a simple way to stabilize and support the lens so that the lens could remain in the posterior chamber while phacoemulsification is performed through a corneal incision as usual. We describe a technique using a trocar blade to stabilize the lens while performing phacoemulsification through a corneal incision. We found it to be a useful and safe instrument to support the subluxated lens during phacoemulsification.

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