VIDEO: ‘Saloon door’ technique wins ESCRS video award
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BARCELONA, Spain — At the European Society of Cataract and Refractive Surgeons meeting, Michael Amon, MD, discusses a “saloon door” technique used during an open-sky IOL exchange, which won an award in the video competition.
The technique was performed in a patient with an artificial iris who had undergone multiple corneal transplant procedures, with the cornea damaged again by an anterior chamber IOL.
Amon opened the eye, explanted the IOL and, to preserve the artificial iris, opened the iris vertically with two radial cuts. Through this “saloon door” aperture, he inserted a three-piece posterior chamber IOL and fixated it to the sclera using a modified Yamane technique.
“It is like bringing a camel through the eye of a needle,” he said, recommending this technique as way to preserve a previously implanted artificial iris and exchange the lens in special cases.
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Amon M. “Open sky” IOL exchange utilising flanged haptic fixation behind a pre-existing artificial iris: The “saloon door” technique. Presented at: European Society of Cataract and Refractive Surgeons meeting; Sept. 6-10, 2024; Barcelona, Spain.
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