Advanced IOL Fixation Techniques

David F. Chang, MD is a summa cum laude graduate of Harvard College and Harvard Medical School. He completed his ophthalmology residency at the University of California, San Francisco (UCSF), where he is now a clinical professor. Having chaired the American Society of Cataract and Refractive Surgery (ASCRS) Cataract Clinical Committee, Dr. Chang has been on the ASCRS Board and Executive Committee since 2009 and served as the 2012-2013 president. He is past chair of the American Academy of Ophthalmology (AAO) Cataract Preferred Practice Pattern Panel and in 2009 completed his 5-year term as chair of the AAO Annual Meeting Program Committee. Dr. Chang co-chairs the joint ASCRS-ASRS (American Society of Retina Specialists) task force on hemorrhagic occlusive retinal vasculitis and the joint ASCRS-AAO-OOSS (Ophthalmic Outpatient Surgery Society) task force on ophthalmic instrument cleaning and sterilization. He also co-chairs the ASCRS Foundation and serves on the medical advisory boards of the Himalayan Cataract Project and Project Vision.Dr. Chang is one of only 3 ophthalmologists to ever receive the Charlotte Baer Award, which annually honors the most outstanding clinical faculty member at the UCSF Medical School. In addition to the Standard, Senior, and Lifetime AAO Achievement awards, Dr. Chang was the first 4-time AAO Secretariat Award recipient (2003, 2006, 2007, and 2009). He has been honored by the following international ophthalmology organizations: ASCRS (Binkhorst Medal), AAO (Kelman Lecture), Asia-Pacific Association of Cataract & Refractive Surgeons (Lim Medal), United Kingdom & Ireland Society of Cataract & Refractive Surgeons (Rayner Medal), Canadian Society of Cataract and Refractive Surgery (Award of Excellence/Stein Lecture), Canadian Ophthalmology Society (Sally Letson Lecture), All India Ophthalmology Society (President’s Lecture), Indian Intraocular Implant & Refractive Society (Gold Medal), Italian Ophthalmological Society (Strampelli Medal), International Intraocular Implant Club (IIIC Medal), American-European Congress of Ophthalmic Surgery (Visionary Award), International Society of Refractive Surgery (Presidential Recognition Award), Chinese American Ophthalmology Society (Pioneer Award), DOC-German Ophthalmic Surgeons (DOC Innovator Lecture), Royal Australia and New Zealand College of Ophthalmologists (Gregg Medal), and the Asia-Pacific Academy of Ophthalmology (Jose Rizal International Medal). Including these, Dr. Chang has delivered a total of 40 named lectures. He has twice been voted the fifth most influential ophthalmologist in the world by the international readership of The Ophthalmologist.Dr. Chang served as chief medical editor of EyeWorld and Cataract & Refractive Surgery Today. He is the author or coauthor of more than 120 peer-reviewed papers. Dr. Chang was the textbook editor of Cataract Surgery Today and SLACK Incorporated’s Curbside Consultation in Cataract Surgery and Mastering Refractive IOLs: The Art and Science. Dr. Chang was also the series editor for the Curbside Consultation Ophthalmology textbook series and the principal author of two editions of Phaco Chop and Advanced Phaco Techniques: Strategies for Complicated Cataracts, all published by SLACK Incorporated.

• Dedication Acknowledgments About the EditorAbout the Associate Editors Contributing AuthorsPreface Foreword by Howard V. Gimbel, MD, MPH? Part One Capsular Fixation Section I Zonulopathy With Intact Capsular Bag Chapter 1 Phaco Strategies With ZonulopathyDavid F. Chang, MD Chapter 2 Capsular Tension Ring Implantation and RationaleLisa Brothers Arbisser, MD Chapter 3 Suture-Guided Capsular Tension Ring InsertionTimothy P. Page, MD Chapter 4 Capsular Tension Ring Insertion—Pearls and PitfallsBrian Little, BSc, MA, FRCS, FRCOphth, FHEA Chapter 5 Henderson Capsular Tension RingBrett P. Bielory, MD and Bonnie An Henderson, MD Chapter 6 Cionni Modified Capsular Tension RingRobert J. Cionni, MD Chapter 7 Malyugin Modified Capsular Tension RingBoris Malyugin, MD, PhD Chapter 8 Capsular Tension SegmentsPatrick Gooi, MD, FRCSC and Ike K. Ahmed, MD, FRCSC Chapter 9 Capsular Tension Segment Technique for IOL Fixation and CentrationSeng-Ei Ti, FRCS(Ed), MMed(S'pore) and Soon-Phaik Chee, FRCOphth, FRCS(G), FRCS(Ed), MMed(S'pore) Chapter 10 Capsular Anchor for Surgical Management of Subluxated LensesEhud I. Assia, MD and Michael E. Snyder, MD Chapter 11 Bean-Shaped Ring Segments and Bag-in-the-Lens IOL ImplantationMarie-José Tassignon, MD, PhD, FEBO, FEBOS-CR and Sorcha Ní Dhubhghaill, MD, PhD, FEBO, FEBOS-CR Chapter 12 Jacob Paperclip Capsule Stabilizer (Glued Capsular Hook)Soosan Jacob, MS, FRCS, DNB Chapter 13 Stepwise IOL Fixation Strategies for Varying Severity of ZonulopathyDavid F. Chang, MD Chapter 14 Fixation for Delayed Bag-IOL Subluxation—When and HowTyler Q. Kirk, MD; Michael J. Siegel, MD; and Garry P. Condon, MD Chapter 15 Scleral Fixation for Delayed Bag-IOL DislocationAlan S. Crandall, MD? Section II Posterior Capsule Rupture Chapter 16 IOL Placement Following Anterior or Posterior Capsule TearsDavid F. Chang, MD Chapter 17 IOL Selection for Sulcus FixationLiliana Werner, MD, PhD and Nick Mamalis, MD Chapter 18 Sulcus IOL Fixation—My TechniqueKevin M. Miller, MD Chapter 19 Sulcoflex IOLsAllon Barsam, MA, FRCOphth and Soyang Ella Kim, MBBS, MA (Oxon), PG Cert Chapter 20 Posterior Capsulorrhexis to Prevent or Manage IOL ComplicationsHoward V. Gimbel, MD, MPH and Hala Marzouk, MD Chapter 21 Advanced Posterior Capsulotomy TechniquesLisa Brothers Arbisser, MD Chapter 22 Reverse Optic Capture in Eyes With Posterior Capsule RuptureJason Jones, MD Chapter 23 Haptic Tuck for Reverse Optic CaptureHoward V. Gimbel, MD, MPH and Hala Marzouk, MD Chapter 24 Reverse Optic CaptureThomas A. Oetting, MS, MD Chapter 25 Capsular Membrane Suture Fixation of IOLsHoward V. Gimbel, MD, MPH and Hala Marzouk, MD Part Two Noncapsular Fixation Section I Iris Suture Fixation Chapter 26 Peripheral Iris IOL Fixation—Rationale and ResultsGarry P. Condon, MD Chapter 27 Iris Suture IOL FixationNicole Fram, MD; Samuel Masket, MD; and Steven Naids, MD Chapter 28 Double-Needle Iris Suture Fixation for Dislocated IOLsJohn C. Hart Jr, MD Chapter 29 Complications of Iris-Sutured IOLsBrandon D. Ayres, MD Section II Transscleral Suture Fixation Chapter 30 Corneoscleral Pocket TechniqueRichard S. Hoffman, MD; I. Howard Fine, MD; Annette Chang Sims, MD; and Janet M. Lim, MD, MBA Chapter 31 Transscleral Gore-Tex Fixation of Akreos AO60 IOLBrandon D. Ayres, MD Chapter 32 Transscleral Gore-Tex Fixation of enVista IOLMatthew S. Ward, MD Chapter 33 Gore-Tex Scleral Fixation—Vitreoretinal PerspectiveEhsan Rahimy, MD Chapter 34 Modified Cow-Hitch Suture FixationAlison Fraenkel, BBiomedSc, MBBS, MScMed(OphthSc) and Lawrence Lee, MBBS, FRANZCO, FRACS Chapter 35 No-Tilt, Four-Point Transscleral Fixation of PMMA Posterior Chamber IOLsMichael E. Snyder, MD and Gregory S. H. Ogawa, MD Chapter 36 Techniques for Sulcus Fixation of Single-Piece Acrylate IOLsKenneth J. Rosenthal, MD, FACS and Nandini Venkateswaran, MD Chapter 37 Complications of Transscleral-Sutured Posterior Chamber IOLsAndrew McAllister, FRANZCO and Peter Beckingsale, MBBS, FRANZCO Section III Intrascleral Haptic Fixation Chapter 38 Sutureless Intrascleral Haptic FixationGabor B. Scharioth, MD, PhD Chapter 39 T-Fixation Intrascleral Haptic Fixation TechniqueToshihiko Ohta, MD, PhD Chapter 40 Glued IOL—Rationale and ResultsDhivya Ashok Kumar, MD(AIIMS), FICO, FAICO, FRCS and Amar Agarwal, MS, FRCS, FRCOphth Chapter 41 Glued IOL—Our TechniqueSoosan Jacob, MS, FRCS, DNB and Amar Agarwal, MS, FRCS, FRCOphth Chapter 42 Glued Intrascleral Haptic Fixation IOL—My TechniqueGeorge H. H. Beiko, BM, BCh (Oxon), FRCSC Chapter 43 Supracapsular Glued IOL Technique for Progressive ZonulopathySoosan Jacob, MS, FRCS, DNB Chapter 44 Complications of Glued IOLAshvin Agarwal, MD and Priya Narang, MS Chapter 45 Yamane Double-Needle Technique—Rationale and ResultsShin Yamane, MD, PhD Chapter 46 Yamane Double-Needle Intrascleral Haptic Fixation—My TechniqueMelina I. Morkin, MD and Naveen K. Rao, MD Chapter 47 Yamane Double-Needle Intrascleral Haptic Fixation—My TechniqueSteven G. Safran, MD Chapter 48 Yamane Double-Needle Technique—Kim ModificationD. Brian Kim, MD Chapter 49 Learning the Yamane Technique—Pearls and PitfallsKourtney Houser, MD; Joshua Duncan, DO; Mitchell P. Weikert, MD; and Zaina Al-Mohtaseb, MD Chapter 50 Complications of Double-Needle Flanged Intrascleral Haptic FixationJason Jones, MD Chapter 51 New Techniques for Gore-Tex Suture Fixation of IOLsYuri McKee, MD, MS Chapter 52 Case Selection for Intrascleral Haptic FixationPriya Narang, MS and Ashvin Agarwal, MD Section IV Anterior Chamber IOL Chapter 53 Anterior Chamber IOL—Rationale and ResultsNeel Dave Pasricha, MD and Ayman Naseri, MD Chapter 54 Anterior Chamber IOL—My TechniqueBryan S. Lee, MD, JD Chapter 55 Anterior Chamber IOL Complications and ManagementMarjan Farid, MD and Allison R. Jarstad, DO Section V Iris Claw IOL Fixation Chapter 56 Iris Claw IOL Fixation—Rationale and ResultsJose L. Güell, MD, PhD; Paula Verdaguer, MD, PhD; Daniel Elies, MD; Felicidad Manero, MD; Oscar Gris, MD, PhD; and Merce Morral, MD, PhD Chapter 57 The Artisan Iris Claw Lens for Anterior Iris FixationKenneth J. Rosenthal, MD, FACS and Nandini Venkateswaran, MD Chapter 58 Iris Claw IOL Following Subluxated IOL ExchangeThomas Kohnen, MD, PhD, FEBO Chapter 59 Iris Claw IOL Fixation—Our TechniqueRavijit Singh, MS; Kiranjit Singh, MS; Harmit Kaur, MS; Indu Singh, MS; and Daljit Singh, MS, DSc Part Three Miscellaneous Chapter 60 IOL Power Calculation With Sulcus or Noncapsular FixationWarrenE. Hill, MD, FACS Chapter 61 Corneal Considerations for Noncapsular IOL FixationSadeer B. Hannush, MD Chapter 62 Strategies for Managing Posterior Capsule RuptureDavid F. Chang, MD Chapter 63 Pars Plana Anterior Vitrectomy for the Anterior Segment SurgeonLisa Brothers Arbisser, MD Chapter 64 Anterior Vitrectomy PearlsD. Brian Kim, MD Chapter 65 Anterior Vitrectomy ConceptsSteve Charles, MD Chapter 66 Trocar Anterior Chamber MaintainerDhivya Ashok Kumar, MD(AIIMS), FICO, FAICO, FRCS; Athiya Agarwal, MD, DO; and Amar Agarwal, MS, FRCS, FRCOphth Chapter 67 Siepser Sliding Slip KnotSteven B. Siepser, MD, FACS Chapter 68 Single-Pass Four-Throw PupilloplastyPriya Narang, MS; Ashar Agarwal, MS, FRCS; Ashvin Agarwal, MD; and Amar Agarwal, MS, FRCS, FRCOphth Chapter 69 Ultrasound Biomicroscopy Evaluation of Optimal Ciliary Sulcus IOL Suture Fixation SiteTakeshi Sugiura, MD Chapter 70 New Guide Needles for Yamane Intrascleral Haptic Fixation TechniqueBrandon D. Ayres, MD Chapter 71 Yamane Double-Needle StabilizerShin Yamane, MD, PhD?Financial Disclosures Index