During the trans-corneal reduction procedure, which step uses a cotton tip applicator to reposition the lens?

During the trans-corneal reduction procedure, which step uses a cotton tip applicator to reposition the lens?

• A. Sedate and place in dorsal recumbency
• B. Latanoprost to keep behind iris
• C. Utilize cotton tip applicator with gentle pressure on corneal moving dorsal to ventral to reposition lens behind iris
• D. Apply proparacaine and copious gonak gel to cornea

Answer: (C)

The key idea is how the lens is physically moved back into place during trans-corneal reduction. The essential step is using a cotton tip applicator to gently press on the cornea from dorsal to ventral, guiding the lens behind the iris. This tactile maneuver directly repositions the lens with controlled, soft pressure, helping to place it in a stable position behind the iris while minimizing trauma to the cornea and iris. The other steps are preparatory or supportive: sedation and proper positioning create a still field; applying local anesthesia and gel protects the cornea and reduces discomfort during manipulation; using a drug like latanoprost is not part of the lens-repositioning maneuver itself.

The key idea is how the lens is physically moved back into place during trans-corneal reduction. The essential step is using a cotton tip applicator to gently press on the cornea from dorsal to ventral, guiding the lens behind the iris. This tactile maneuver directly repositions the lens with controlled, soft pressure, helping to place it in a stable position behind the iris while minimizing trauma to the cornea and iris. The other steps are preparatory or supportive: sedation and proper positioning create a still field; applying local anesthesia and gel protects the cornea and reduces discomfort during manipulation; using a drug like latanoprost is not part of the lens-repositioning maneuver itself.