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A patient is undergoes for IOL exchange after the silicone oil caused IOL opacification. The capsular bag was stabilized with capsular bag hooks and the haptic is cut because the double c-loop haptic was adherent to the capsule. While the main incision was enlarged, the IOL fell down into the vitreous. A cornea trephine is filled with OVD to create an improvised plano concave lens for retina visualization.
Posted: 9/15/2015
A patient is undergoes for IOL exchange after the silicone oil caused IOL opacification. The capsular bag was stabilized with capsular bag hooks and the haptic is cut because the double c-loop haptic was adherent to the capsule. While the main incision was enlarged, the IOL fell down into the vitreous. A cornea trephine is filled with OVD to create an improvised plano concave lens for retina visualization.
Posted: 9/15/2015
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Heather Casparis
9 years ago
I would only do this in a fully vitrectomized eye, as this case was (s/p silicone oil removal). Otherwise the vitreous traction could cause a retinal break and detachment.
ari weitzner
9 years ago
might be an issue of vitreous traction when pulling out the iol? also, why do you think the pc ruptured? i suspect the cut edges of the iol rubbed against it?