Slitlamp needle revision of capsular block syndrome
Accepted 8 March 2008.
I describe a technique of slitlamp needle revision in eyes with capsular block syndrome (CBS) with distention of the capsular bag and forward displacement of the intraocular lens (IOL) in the capsular bag. After topical anesthesia and povidone–iodine are applied to the eye, a 30-gauge needle is introduced in a beveled fashion across the peripheral cornea into the anterior chamber and used to gently push the IOL posteriorly into the capsular bag, reversing CBS. In 8 patients, the technique instantly resolved the CBS and the induced myopic shift. No patient experienced complications or had a recurrence of CBS.
From the Glaucoma Service, Eye and Ear Hospital, and the Department of Ophthalmology, Trad Medical Center, Beirut, Lebanon
Corresponding author: Pierre G. Mardelli, MD, PO Box 113-5786, Beirut, Lebanon.
The author has no financial or proprietary interest in any material or method mentioned.
Presented as a poster at the annual meeting of the American Academy of Ophthalmology, Las Vegas, Nevada, USA, November 2006.
ABSTRACT