Trisection technique: A 2-snip approach to intraocular lens explantation

Abstract

We describe a new explantation technique that allows an intraocular lens (IOL) to be removed through the small incisions used in modern cataract surgery. After the IOL optic is freed from the capsular bag, a Vannas scissors is used to cut it into 3 pieces via a temporal clear corneal incision. A Sinskey hook inserted via a paracentesis located 90 degrees away provides a stabilizing counterforce, preventing optic slippage as the blades of the scissors close. We believe this method provides a simple and effective way to remove IOLs via very small incisions, thereby hastening patient recovery and improving outcomes.