Modified intralenticular lens aspiration for novice surgeons

A 16-year-old woman with Marfan syndrome presented with corrected distance visual acuity 20/40 right eye and 20/25 left eye. On dilation, both eyes had superonasal subluxation of the crystalline lens. The right eye was planned for modified ILLA with scleral fixated intraocular lens (SFIOL) implantation. lens aspiration (ILLA) has been described in patients with extensively subluxated crystalline lenses to achieve lens aspiration within the capsule, without any risk of lens matter falling posteriorly.1 2 The capsular bag is stabilised with the irrigation cannula’s aid, which brings the area of interest into the surgeon’s focus and hydrates the lens fibres, while the aspiration cannula performs the lens aspiration. [...]this technique is challenging for a beginner surgeon as it involves bimanual hand–eye coordination under the microscope and assessment of the appropriate amount of traction to be applied with the irrigation cannula in this manoeuvre. [...]the visibility of the surgical field is dependent on the surgeon’s hand movements and is not stable throughout the surgery. Haptic placement of posterior chamber intraocular lens in fibrin glue-assisted intrascleral fixation.