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Inside the Wills OR

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IOL Reposition in Setting of Extensive Synechiae

Beeran Meghpara, MD

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Beeran Meghpara, MD, introduces a complex case in which a patient with a history of myopia, astigmatism, and presbyopia underwent refractive lens exchange at another facility. A few days after the procedure, the patient developed endophthalmitis, was treated with multiple injections of intravitreal antibiotics, and was referred for IOL repositioning. On examination, Dr. Meghpara noted a toric IOL with the inferior haptic tilted out of the bag, with extensive synechiae between the iris and the IOL-capsular bag complex. He walks through his approach to the case to reposition the lens to prevent rotation and maintain toricity.

Posted: 6/11/2024

Keywords:

Refractive Lens Exchange/Clear Lens Extraction (RLE/CLE)

•

Myopia

•

Presbyopia

•

Astigmatism

•

IOL

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Back to All Videos

IOL Reposition in Setting of Extensive Synechiae

Beeran Meghpara, MD

Beeran Meghpara, MD, introduces a complex case in which a patient with a history of myopia, astigmatism, and presbyopia underwent refractive lens exchange at another facility. A few days after the procedure, the patient developed endophthalmitis, was treated with multiple injections of intravitreal antibiotics, and was referred for IOL repositioning. On examination, Dr. Meghpara noted a toric IOL with the inferior haptic tilted out of the bag, with extensive synechiae between the iris and the IOL-capsular bag complex. He walks through his approach to the case to reposition the lens to prevent rotation and maintain toricity.

Posted: 6/11/2024

Keywords:

Refractive Lens Exchange/Clear Lens Extraction (RLE/CLE)

•

Myopia

•

Presbyopia

•

Astigmatism

•

IOL

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