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The authors agree on the importance of paying attention to every surgical step during needle-guided retropupillary fixation of iris-claw IOLs without underestimating even the simplest maneuvers. The iris is delicate and fluffy tissue and is not easy to manage. When traumatized by surgical maneuvers, the iris frays easily and releases pigment. Stretching it could result in an irregular pupil (corectopia). A long straight needle must be placed in the anterior chamber using a bimanual technique. A 30-gauge needle should be used as a guide to reduce the risk for damaging the anterior chamber structures (eg, corneal endothelium or iris) and to avoid placing the long straight needle in an incorrect position.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Letters Source Type: research