Dr. George Williams: Sutureless TSV Cannula-Based Scleral Fixation of PCIOL in Adult ROP Patient

February 6, 2015, Surgical Videos

Dr. George Williams, Chairman of Ophthalmology, William Beaumont Hospital, Royal Oak, MI, received the
Professor Yasuo Tano Memorial Lecture Award at Club Jules Gonin meeting in Zurich, Switzerland in July 2014.
Dr. Williams, who was the honored lecturer, remarked, “Professor Yasuo Tano was the Ophthalmologist’s Ophthalmologist. He was the consummate surgeon, researcher and academic leader. A true citizen of the world, he was the leading proponent of the International Ophthalmology community. He made all of us who knew him a better doctor and person.”

During Dr. Williams’ lecture, he outlined a technique for IOL Repositioning with his Fellow, Dr. Yoshihira Yonekawa, and his Associated Retinal Consultants colleague, Lisa Faia, MD. Their video features Sutureless Transconjunctival
Cannula – Based PCIOL Scleral Fixation (Modified Prenner) in a Patient with Adult ROP, Retinopathy of Prematurity.

Dr. Williams, Faia and Yonekawa selected both ALCON®(a division of Novartis) 23 and 25 gauge instruments for this difficult case of an already challenged (compromised) eye. Using two gauges in surgery is sometimes referred to as hybrid instrument selection.

In this particular case, an Adult ROP with significant adhesions, the 23 gauge platform may be of greater value for certain cutting and access to the tissue. Specifically, removing cutting adhesions and the organized sheet of vitreous around the IOL. The two 25 gauge cannula’s are placed at 12 and 6 o’clock for IOL/haptic repositioning.

The forceps of choice in this case is a ALCON®GRIESHABER® MaxGrip (serrated style) 25 gauge which has a longer gripping area for lens/haptic repositioning. For access through the inferior (6 o’clock) cannula, the forceps needs to be bent.

For additional information on this technique:
Graefe’s Archive for Clinical and Experimental Ophthalmology (in press)

Authors: Abbey AM, Hussain RM, Shah AR, Faia LJ, Wolfe JD, Williams GA

Sutureless Scleral Fixation of Intraocular Lenses: Outcomes of Two Approaches
The 2014 Yasuo Tano Memorial Lecture

Dr. Williams can be reached at gwilliams@beaumont.edu.

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