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  • Title: Ciliary sulcus reconstruction for posterior implantation in the absence of an intact posterior capsule.
    Author: Dahan E, Salmenson BD, Levin J.
    Journal: Ophthalmic Surg; 1989 Nov; 20(11):776-80. PubMed ID: 2616123.
    Abstract:
    Secondary implantation of a posterior chamber intraocular lens in an aphakic eye devoid of an intact posterior capsule requires a special surgical approach. When lens capsule remnants remain in the periphery, the ciliary sulcus can be reconstructed to accommodate a posterior chamber lens. The fibrotic lens or capsular residues that often remain adherent to the posterior surface of the iris are divided with sharp intraocular scissors, and a shelf is created that is sufficient to support the lens haptics. A series of 28 cases, including 16 involving young children, demonstrates the feasibility and the favorable visual results obtainable with this surgical technique.
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