The “twist and out” technique for removing an IOL can be tricky to master.
The “twist and out” technique for removing an IOL can be tricky to master. Dr. Morgan Micheletti came up with a slight modification to Dr. Rahul Pandit’s original technique that he hopes will expand the adoption of this useful technique. Instead of holding a cannula in his off hand, Dr. Micheletti bridges a 25-gauge cannula across the anterior chamber. This modification frees up both hands to rotate the forceps, allowing for a smoother and more controlled rolling of the IOL against the cannula. As a result, the IOL can often be more tightly wrapped, meaning wound stretch is reduced and the IOL can be removed through a smaller hole.
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