AN INTUMESCENT WHITE CATARACT AND FOREIGN BODY
By Michael Snyder, MD
A healthy 33-year-old man with no prior ocular history was referred with a 6-week history of markedly reduced vision in his left eye. Slit-lamp examination showed a white and quiet eye with a clear cornea and a 1-mm, healed, shelved corneal laceration below the corneal dome with scarring of indeterminate age. An intralenticular foreign body near the posterior aspect of the 6.25-mm thick lens was found on ultrasound biomicroscopy. Had the foreign body not been discovered, intraocular surgical maneuvers could have resulted in a poor outcome.
IRIS EXPANSION MANEUVER
By Robert J. Cionni, MD
To expand the iris, Dr. Cionni bends the iris hook backward on itself and holds it in that position for about 15 seconds. This maneuver allows the device to shape itself more appropriately so that the iris is not tented to the cornea once it is expanded. He delicately applies pressure to the iris to expand the pupil.
CORNEAPLASTIQUE FOR A BUTTONHOLE AND POOR VISUAL ACUITY
By Arun C. Gulani, MD
Dr. Gulani uses an excimer laser in PRK mode for a LASIK patient with a buttonhole and a BCVA of 20/100. Following the principles of laser corneaplastique, he corrects the patient’s visual acuity to 20/20.
DEMONSTRATION OF AN IOL INJECTION SYSTEM
By Jeffrey Whitman, MD
Dr. Whitman demonstrates how to use the Bausch + Lomb Injector System (BLIS) for the company’s enVista IOL. The screw-type injector allows easy implantation of the lens through a 2.2-mm incision without wound assist.