Abstract 99. Jahrestagung der DOG, 29. 9. - 2. 10. 01 im ICC, Berlin

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Iridectomy or Iridotomy in phacic posterior Lens Implantation

Bleckmann H.

Schlosspark-Klinik, Augenabteilung, Heubnerweg 2, D-14059 Berlin

Purpose: To explain the different methods to perform a free passage between the anterior and posterior chamber after ICL implantation.
Methods: To create a shortcut between the anterior and posterior chamber some methods have been proposed: Surgical iridectomy through the clear cornea, YAGlaser iridotomy several days before the implantation, iridectomy by vitrectomy device and an iridotomy through the clear cornea performed by Weckers scissors are demonstrated.
Results: The performance and side effects of each of the procedures are registered. It seems that two iridotomies through the clear cornea are sufficient to prevent an angle closure glaucoma attack although the iridotomy is tiny.
Conclusion: Iridotomies as are demonstrated in this video assure a free passage of aqueous humor with minimal side effects and are recommended by the author. No patient with surgical iridotomies suffered an acute glaucoma attack.




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