September 14, 2008
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Intraocular mirror provides views of ocular structures during surgery

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BERLIN — A newly designed intraocular mirror could assist in cataract surgery by showing the area behind the iris that typically cannot be viewed during surgery, the inventor said here.

Bong-Hyun Kim, MD, spoke about the B.H. Kim Intraocular Mirror at the European Society of Cataract and Refractive Surgeons meeting. Dr. Kim said he designed the mirror to help surgeons determine the position of the intraocular lens and view structures behind the iris and the endothelial surface of the cornea with ease.

"Without direct viewing, the surgeon does not know what's happening on the corneal endothelium," he said.

The mirror can assist surgeons in determining zonular dehiscence cases by clearly showing the presence of zonules, Dr. Kim said. It is also useful in detecting intraoperative corneal endothelial damage.

In addition, the mirror is simple to use, he said. Following injection of visceoelastic, the mirror can be inserted into the anterior chamber. The device has a shank, handle and reflective, round head that measures 2.5 mm in diameter and 0.3 mm in width, he said.

PERSPECTIVE

Especially in difficult situations during surgery, the intraocular mirror is a helpful device to visualize the corneal endothelium and structures behind the iris. Clinical practice may be influenced by this redesigned mirror, as by exploring hidden structures during surgery, the mirror helps to improve the results. In cases with narrow pupils aligned, positioning of toric IOLs could be facilitated. The study has shown the beneficial effect of this device.

– Michael Amon, MD
OSN Europe/Asia-Pacific Edition Board Member