9 “Open Sky” ECCE/PK Disadvantages Open sky with increased risk of positive pressure, scleral collapseForward herniation of the iris / posterior capsular rupture and vitreous lossIncreased risk of choroidal hemorrhageUncertainty of exact placement of the posterior chamber IOL
10 SURGICAL ADVANCESSuturing of donor after nucleus expression with interrupted suturesI & A thru graft host junctionImplantation of posterior chamber IOL thru graft host junction
11 Results 32/34 eyes had successful implantation of the PC IOL One eye had one haptic in front of iris, successfully repositionedNo incidence of capsular rupture, vitreous loss or lens dislocationAll grafts were clear
12 ConclusionsThis new technique allows successful placement of a PC IOL in spite of positive vitreous pressure during the triple procedure. All grafts were clear; with no incidence of capsule rupture, vitreous loss or lens dislocation.