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Wamidh Simawi, MD, presents a gentleman refereed with a huge refractive surprise of -9 myopia. The patient is a photographer and this result was a functional blindness according to him.
IOL exchange with customized Toric ReSTOR was performed 6 weeks after the first cataract surgery.
The video demonstrates simple tips for protecting the intraocular tissues with viscoelastics. Lens explantation is achieved by a technique using commonly available instruments.
Posted: 2/04/2014
Wamidh Simawi, MD, presents a gentleman refereed with a huge refractive surprise of -9 myopia. The patient is a photographer and this result was a functional blindness according to him.
IOL exchange with customized Toric ReSTOR was performed 6 weeks after the first cataract surgery.
The video demonstrates simple tips for protecting the intraocular tissues with viscoelastics. Lens explantation is achieved by a technique using commonly available instruments.
Posted: 2/04/2014
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Wamidh Simawi
12 years ago
Hello Gary ! Well, They had a modern version of IOL master of V 5. The surgeon told me that they used a wrong IOL power due to bad communication and bad luck. The explanted IOL is 29 D and is Thick of old Sensar Model. Refolding technique can be applied but stressfull probably . Thanks
Gary Wortz, MD
12 years ago
I am curious as to why the patient had a -9 diopter refractive surprise. What type of biometry was used? Also, with the acrysof platform, the lens can be removed through a 3.0mm wound without cutting by mobilizing one haptic through the main wound, and getting a large purchase on the optic and simply gently pulling it through. The lens will fold in on itself and is quite easy.