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Garry P. Condon MD
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Garry Condon, MD, presents several cases of malpositioned Single-Piece IOL. The first patient presents five years postoperatively where all but one haptic is outside the bag. Using OVD to deepen the chamber and viscodissect the lens from the capsular bag. The lens is cut and extracted through a 2.4mm incision. The second case with underlying pseudoexfoliation where all but one haptic where contained with the bag.
Posted: 3/10/2011
Garry P. Condon MD
Garry Condon, MD, presents several cases of malpositioned Single-Piece IOL. The first patient presents five years postoperatively where all but one haptic is outside the bag. Using OVD to deepen the chamber and viscodissect the lens from the capsular bag. The lens is cut and extracted through a 2.4mm incision. The second case with underlying pseudoexfoliation where all but one haptic where contained with the bag.
Posted: 3/10/2011
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Gianluca Carifi
14 years ago
Thank you Dr Condon for sharing your interesting cases. The first case is a very good example of what should be done in these cases. I would instead warn other surgeons from leaving in the eye an unstable IOL-bag complex as shown in the second case. In fact, there was probably a more than 200 degrees zonular dialysis which makes it very likely to dislocate in the long term. Of course the age of the patient has to be taken into account as well. A non-surgical management would have probably been safer than a further zonular trauma during the haptic cutting process. In a young patient I would definitely remove the IOL-bag complex and proceed with a secondary IOL implant. Gianluca Carifi, MD
Stanislav Zhuk
14 years ago
these are fun cases i had more luck with explanting iol than cutting off the offending haptic; the cut edge on the optic still irritated iris because single piece acrylics are not designed to sit in sulcus