Tips for YAMANE
IOL centration
insertion is 20 degree, from limbus, 5 degree from iris plane
then direct to disc
Flange
USe McPherson to hold one end, then pull out from the other end
dry the tip then cautherise
dropped IOL
- Straight needle, do not bend
2.5 mm from the limbus for normal eye
2.0 mm for smaller eye (22 mm)
if it's wet, then it become mushroom, if it's dry, then drumsticks
- insert same as before
- feed the haptic in via handshake technique
- Use Eyebox to do it
Technique
insert it in the AC. instead of dangling it.
Removal of IOL
when you bring to AC, position to win
position in a way that the trailing haptic is towards the wound
when they are in AC then fill in the AC with provisc
you can only remove the capsule, the SLM budge it out
move the infusion to the AC after you are done with the infusion. AC is much better maintained and deepened.
Use 27 G needle in the leading haptic then 26G in the trailing haptics
Do a small PI.