Slitlamp needle revision of capsular block syndrome

Abstract

I describe a technique of slitlamp needle revision in eyes with capsular block syndrome (CBS) with distention of the capsular bag and forward displacement of the intraocular lens (IOL) in the capsular bag. After topical anesthesia and povidone-iodine are applied to the eye, a 30-gauge needle is introduced in a beveled fashion across the peripheral cornea into the anterior chamber and used to gently push the IOL posteriorly into the capsular bag, reversing CBS. In 8 patients, the technique instantly resolved the CBS and the induced myopic shift. No patient experienced complications or had a recurrence of CBS.