Difficult Cases - Dislocated Lens with Phimosis

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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.

Posted: 7/22/2011

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.

Posted: 7/22/2011

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Comments

Alan Aker

14 years ago

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

mustafa taseli

14 years ago

why didn't you replace the old IOL to sulcus?

Bhushan Khare

14 years ago

Hi Dr Aker was the IOL replaced only for a IOL of lesser power for the sulcus rgds Dr B Khare