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WARNING: Teaching Surgical procedures video that some viewers may find disturbing and inappropriate. The content is intended for medical professionals, students, and ophthalmic surgeons, not the general audience. Full Unedited Video Link • Management of Anterior Dislocation Catarac... Surgical Video: Anterior Chamber IOL Implantation *Welcome to our detailed surgical video on Anterior Chamber Intraocular Lens (ACIOL) implantation.* *Indications:* ACIOL implantation is essential when there's an *absence of capsular or zonular support* for a posterior chamber intraocular lens (PCIOL), often due to conditions like trauma, pseudoexfoliation syndrome, or congenital anomalies. For optimal results, the anterior chamber must be sufficiently deep, and the iris should be normal. *Pearls for Implantation:* 1. **Accurate Sizing**: Begin by measuring the white-to-white (WTW) diameter and adding 1mm to determine the appropriate lens size. This step ensures that the ACIOL fits perfectly within the anterior chamber. 2. **Scleral Tunnel Incision**: Utilize a scleral tunnel incision to minimize corneal astigmatism. This technique offers a more stable incision and reduces the risk of postoperative complications. 3. **Flexible Haptics**: Modern ACIOLs feature flexible, open-looped haptics that are easily positioned in the anterior chamber angle, providing secure placement and stability. 4. **Avoid in Compromised Corneas**: Do not use ACIOLs in patients with pre-existing corneal endothelial damage or shallow anterior chambers, as this could lead to further complications. *Comparison with Scleral Fixation IOLs (SFIOLs) and Iris Fixation IOLs (IFIOLs):* *Scleral Fixation IOLs (SFIOLs):* **Indications**: Ideal for cases with inadequate capsular support where ACIOL is unsuitable. **Technique**: IOL haptics are sutured to the sclera using either a flap or pocket approach. **Advantages**: Offers stable fixation with minimal corneal complications. **Disadvantages**: Involves a longer surgical time and potential suture-related complications. *Iris Fixation IOLs (IFIOLs):* **Indications**: Also used when capsular support is inadequate. **Technique**: IOL is attached to the iris using claw haptics. **Advantages**: Shorter surgical time with immediate visual improvement. **Disadvantages**: Higher risk of corneal edema, irregular pupil, and induced astigmatism. *Summary:* Both SFIOLs and IFIOLs serve as viable alternatives to ACIOLs in the absence of capsular support. SFIOLs provide stable fixation with fewer corneal issues, while IFIOLs offer quicker surgery but carry a higher risk of corneal complications. Ultimately, the choice of IOL depends on the patient's specific anatomical and clinical needs. Thank you for watching! If you found this video informative, please like, share, and subscribe for more surgical insights. #ACIOL #AnteriorChamber #Chamber #IOL #sudhirsingh Dr Sudhir Singh M.S(Ophthalmology) Fellow American Academy of Ophthalmology Rotary Club Host Program International Ophthalmic Heroes of India 2020 Awardee Ambassador, Eye Foundation of America Formerly Editor Journal, Rajasthan Ophthalmological Society Sr Consultant & Head (Ophthalmology) Global Hospital & Research Centre Mount Abu ,India 307501 Websites Editor in Chief www.SquintMaster.Com YouTube Channels Jaipur2020 SquintMasterIndia Twitter / resp2020 http://www.squintmaster.com/ http://sudhir.info/ Visit Us for more on strabismus software at www.SquintMaster.Com Books by Dr Sudhir Singh White Intumescent Cataract Management: My Approach ISBN: 9798201376215 https://books2read.com/u/md6yWy Posterior Polar Cataract Management: My Approach ISBN: 9798201084349 https://books2read.com/u/3n5rno Cataract And Small Pupil Management Manual Techniques ISBN: 9798201201784 https://books2read.com/u/m2ezxk