Soft Lenses

Soft Lenses
Eyeworld Oct, 2016

AT A GLANCE
1. CCC size of 5.0 to 5.5mm can still be ideal
2. Using a vacuum-based system can be particularly helpful
3. Be aware of the "bowl" effect

TECHNIQUE
1. CCC size 5.0 to 5.5mm
2. Prolapse the lens forward
3. Horizontal chop with Nagahara chopper
4. or Reverse chop technique using the Koch spatula
***5. The Key for soft lenses: achieve good hydrodissection and hydrodelineation
6. Supracapsular technique: by using initial hydrodissection and then keeping the cannula in the same location while you continue to slowly inject fluid.

DEALING WITH A "BOWL"
1. switch to the Koch spatula and perform a reverse chop
2. Performing a viscodissection of the epinuclear shell and removing its adhesion to the capsular bag

PATIENT SELECTIONS
be careful: high myopic patients

Dr. Yu-Hao Lin, MD
Deputy superintendent, Brand New Eye Clinic
http://www.eyeDrLin.tw