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Priya Narang, MS
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The Triumvirate technique comprises of Modified Posterior Assisted Levitation (PAL) with IOL scaffold and Glued IOL for cases with deficient capsular support and sinking nuclei. In Modified PAL, the sclerotomy site created for glued IOL procedure at a distance of 1-1.5 mm from the limbus is employed to perform a PAL. The additional advantage of performing a modified PAL is that as two sclerotomy sites are present, both these sites can be used for levitating a sinking nucleus. This obviates the need to make a separate sclerotomy site at 3 mm distance as in a traditional PAL. Moreover, as scleral flap at the end of the surgery covers the sclerotomy site there is no specific need to suture the site. The same sclerotomy site is also used to perform vitrectomy. As the sulcus support is deficient, a 3-piece IOL can be placed on the anterior surface of the iris and an IOL scaffold can be performed. After nuclear emulsification, the same IOL is maneuvered behind the iris and the haptics are externalized as in a Glued IOL procedure.
Posted: 5/25/2017
Priya Narang, MS
The Triumvirate technique comprises of Modified Posterior Assisted Levitation (PAL) with IOL scaffold and Glued IOL for cases with deficient capsular support and sinking nuclei. In Modified PAL, the sclerotomy site created for glued IOL procedure at a distance of 1-1.5 mm from the limbus is employed to perform a PAL. The additional advantage of performing a modified PAL is that as two sclerotomy sites are present, both these sites can be used for levitating a sinking nucleus. This obviates the need to make a separate sclerotomy site at 3 mm distance as in a traditional PAL. Moreover, as scleral flap at the end of the surgery covers the sclerotomy site there is no specific need to suture the site. The same sclerotomy site is also used to perform vitrectomy. As the sulcus support is deficient, a 3-piece IOL can be placed on the anterior surface of the iris and an IOL scaffold can be performed. After nuclear emulsification, the same IOL is maneuvered behind the iris and the haptics are externalized as in a Glued IOL procedure.
Posted: 5/25/2017
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