Dr.Ashvin Agarwal
ECAL-Extrusion cannula assisted levitation: Various methods have been described for the management of dislocated IOLs lying flat on the retina. We describe the use of a 23 gauge extrusion cannula without sleeves for extraction of IOLs with suction through a 23 gauge transconjunctivalsuturelessvitrectomy. This creates suction of a larger surface area on the IOL optic with respect to the soft silicone tip which grips the IOL, aiding levitation into the pupillary plane. The sleeveless extrusion cannula is connected to the vitreotome aspiration (vacuum at 300 mm Hg) with the cutting function off. The IOL is lifted from the retina (through foot pedal control) and is brought anteriorly, behind the iris. It is grasped by end opening forceps introduced via a corneal incision under direct microscopic visualisation. The suction is turned off and the extrusion cannula is removed as the IOL is grasped. Early results reveal this technique is reliable and reproducible with a low complication rate.