Difficult Cases - Dislocated Lens with Phimosis
This patient presents with a dislocated IOL, phimosis, lens tilt, and defect in the posterior capsule. Dr. Alan Aker removes some of the fibrotic tissue to help relax the capsule. After severing haptic adhesions, the IOL is explanted and vitreous is removed from the anterior chamber.
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Comments (3)
There were a couple of issues. The posterior capsule was compromised which resulted in the dislocation and lens tilt. For this reason the replacement IOL was introduced into the sulcus rather than the compromised capsular bag. The reason for the exchange was to correct a significant refractive error, otherwise I would have simply moved the IOL to the sulcus. Alan Aker
why didn't you replace the old IOL to sulcus?
Hi Dr Aker was the IOL replaced only for a IOL of lesser power for the sulcus rgds Dr B Khare