September consultation #7

The ICL is obviously rotating. The most important information, the anatomy behind the iris, regarding ICL (haptic and footplate) positioning and ICL sizing, is needed. Very high frequency digital ultrasound scanning of the posterior chamber and delineation of the anatomical markers is now essential. Otherwise, the clinician continues to go in blindly each time, risking endothelial cell loss and cataract formation in a young patient. Rotating is possible, but publications have shown that the largest sulcus diameter can be either in the vertical or the horizontal axis.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Refractive Source Type: research