Baikoff IOL removal + cataract surgery + pupilloplasty. How to do it without damaging the cornea and the iris

Baikoff angel-supported IOL was implantes during the 90´s to correct high myopia with good visual results but after 20 years we now must confront the fact that all these phakic intraocular lenses must be removed due to late complications like endothelial cell loss, iris-related complications, glaucoma and others like synechiae. Here is one example: a patient with ovalization of the pupil, halos, severe decrease of the endothelium cell population and inicial cataract.

This is one of the reasons why I like ICL from STAAR


iOCt in Lamellar Corneal Transplantation

After a long the working on it, finally there has been released an e-book that I am proud of: iOCT in lamellar corneal transplantation. This is the reason why the blog was on “pause” for some months. I leave you the link to see it.
Hope you enjoy it!!!

And soon in english!!!!


This is a patient who suffered an intraocular lens rotation after a capsulotomy. The axis turn 90 degrees , so we had to remove the toric IOL an insert another one. Because of the capsulotomy we practice an anterior vitrectomy usin triamcinolone to identify any vitreous in the anterior chamber.

Artisan customized toric IOL is implanted following a specific surgical plan, as described in the video

Transfixing suture in DSAEK

We present a case of a patient with Fuchs’ corneal posterior dystrophy associated to a map-dot-fingerprint anterior dystrophy and a previously failed DMEK , which was treated with DSAEK . After 1 week , the graft began to peel off in an area that had previously suffered a traumatic abrasion of the predescemetic Dua´s layer . We decided to perform a transfixing suture asociated to rebubbleing to ensure the proper adhesion of the graft , since the latter was the third surgery in this patient . Tips and videos that can be seen explicitly showing the technique and the postoperative OCT. Presentamos un caso de una paciente con distrofia corneal posterior de Fuchs asociada a una distrofia anterior tipo mapa-punto-huella, y una DMEK fallida previa, en la que realizamos una DSAEK. Después de 1 semana, el injerto empezó a despegarse en una zona en la que previamente se había producido una abrasión traumática de la capa predescemética de Dua. Decidimos realizar un rebubbleing reforzado con puntos transfixiantes para asegurar la correcta adhesión del injerto, dado que ésta última era la tercera intervención quirúrgica a la que sometíamos a la paciente. Se muestran trucos y vídeos en los que se observa de forma explicita la técnica, así como el OCT postoperatorio.