Saloon Door Technique - "open sky" IOL exchange utilising flanged haptic fixation behind a pre-existing Artificial Iris.

ABSTRACT:

Purpose

This paper introduces a novel surgical approach, the "Saloon Door Technique", which allows intraocular lens (IOL) replacement behind a pre-existing Artificial Iris (AI) without its removal.

Observations

A 57-year-old patient with a history of complicated cataract surgery, AI implantation, and recurrent corneal decompensation presented with a dislocated anterior chamber IOL. To prevent further corneal decompensation, we performed an IOL exchange and penetrating keratoplasty under open-sky conditions while preserving the AI. The AI was radially incised at two opposite sites to allow the insertion of a new 3-piece IOL through the 'saloon door' into the posterior chamber. The haptics were then externalized and flanged with a Forceps Needle using a modified Yamane techniq

SUBMITTER: Roth K 

PROVIDER: S-EPMC12466138 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature