I have recently started doing ICL surgery. I need some advice from seniors and fellows regarding following queries.
1. What OVD to use for loading? HPMC or Healon?
2. What OVD to use for Anterior Chamber? HPMC or Healon?
3. Should we try to tuck leading haptic directly behind iris or first it should be injected above the iris only?
4. Any tips for tucking haptics under the iris?
5. Should Pilocarpine be injected at the end of surgery?
Any other Tips for beginners of this surgery?
1. Hpmc is the only OVD to use because its fluidity that allows good surgical approach
2. Same A.S. Previous
3.best is to insert the aptics under the iris,
4. Use a buttondown hook and gently push down the Haptics ora the plate.
5. I prefer charbavhol
Contact Dr. Dimitrii Dementiev of Milano and Moscow who practically invented the procedure. Email at [email protected]. Let him know I recommended you to contact him.
1. HPMC
2. HPMC - reason being lower propensity for IOP rise, as some OVD is bound to remain posterior to the ICL
3. Injection the ICL into the AC first is safer. Then tuck each haptic gently under the iris with mutiple small nudging movements.
4. Try not to sweep the haptic under the iris with one stroke, multiple small nudges are better.
5. I do use pilocarpine at the end of surgery.
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