Using a 30 Gauge Needle to Lift a Dislocated Lens
Title: Using a 30 Gauge Needle to Lift a Dislocated Lens
Author: Austin S. Nakatsuka, MD
Date: 03/12/2025
Brief Description: In this video, I use a bent 30 gauge needle to lift a dislocated lens into the anterior chamber. To do this bend the 30 gauge needle to get the right angle and I insert it into the pars plana (typically 3.5 to 4 mm from the limbus) so that it is behind the dislocated lens. Then I use this to lift the lens up while I grab it from an anterior approach with the micrograsper forceps and bring the lens up into the anterior chamber. This allows me to secure the lens and prevent it from dropping to the back of the eye. I like this technique because it’s a smaller incision with the 30 gauge needle so it closes up by itself without sutures. Also, it is relatively bloodless and if done carefully, can cause less trauma to the eye than larger instruments. Finally, and most importantly, ITS CHEAP! way cheaper than some of the other instruments and ports used for retina surgery. I have used this technique for many dislocated lenses, including ones that are literally hanging back by a couple zonules.
Format: mp4
Identifier: Moran_CORE_127889
Copyright statement: Austin S. Nakatsuka, ©2025. For further information regarding the rights to this collection, please visit: http://morancore.utah.edu/terms-of-use/
