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Thank God, I’m a Retinal Surgeon

Introduction: The anterior and posterior segments are well-demarcated territories of the eye, with surgical specificities of their own. Sub-specialization in Ophthalmology led to the differentiation of surgeons who operate exclusively in the anterior segment, as well as others who dedicate themselves to the posterior segment. Not infrequently, the anterior segment surgeon comes across circumstances in which the ability to work in the...

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The MST IOL Cutter: My Revolution?

For many years, cataract surgery is performed earlier with the associated risks of zonular trauma during surgery or of an aging/glistening of these implants. Moreover, with the recent tendency to put some multifocal intra-ocular lenses that are not always easily tolerated by the patients, we are frequently asked to replace an IOL. However, since IOL cutters are made of one unique piece of scissor that causes a partial shift of the IOL,...

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Are MT4 Anterior Chamber Implants from Alcon an Acceptable Option to Correct Vision Following Loss of Zonular Support?

In complicated cataract surgery, loosing zonular support, makes it difficult to implant an intraocular lens. In this instance, an intraocular lens needs to be inserted in the anterior chamber or fixated to the iris or the sclera. Unlike scleral fixation, which is a complex procedure and is difficult to reproduce, iris-claw implants and anterior chamber implants are both easier to perform and tend to have a more reproducible final...

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Artisan Forceps: Surgeon’s Best Friend?

Background: The Artisan® forceps (DO2-70, Ophtec BV, Groningen, Holland) is a tool that, due to its versatility, has become one of our secret weapons in several procedures in the operating room. This titanium instrument has an opening range of 6 mm, 10 mm length, a flat surface and a bent tip with striations and wings, to enhance and secure the grasp. It was designed to aid in the implantation of iris-claw anterior chamber intraocular...

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Retropupillary Iris-claw IOL: Still a «Gold Standard» in MIVS Era

Purpose:  To report the long-term outcome of the use of retropupillary implantation of the Artisan iris-claw intraocular lens (RPICIOL) in several aphakic conditions without capsular support. Method: This is a retrospective analysis of 320 consecutive eyes of 320 patients (222 males and 98 females) without capsular support in whom we performed RPICIOL implantation. Aphakia was associated with trauma (n=141 eyes, group 1), post-cataract...

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Intrascleral 3-piece IOL Fixation in Combined RD Cases

Purpose: To report the results of intrascleral IOL fixation in patient who had lens lunation combined with retinal detachment (RD) surgery. Methods: Forty-seven eyes of 47 patients with a diagnosis of RD combined with lens luxation were enrolled into this prospective non-randomised study. Pre- and postoperative standard ophthalmic examination was performed in all patients. Surgery included either phacoemulsification or phacofragmentation...

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