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Timely Lens Dislocation

Ozcan Kayikcioglu

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Ozcan Kayikcioglu, MD, presents a patient with proliferative diabetic retinopathy that undergoes a 23-gauge pars plana vitrectomy and membranectomy. A sharp instrument comes in contact with the sclerotic lens, necessitating a lens removal. The nucleus drops in early stages of phacoemulsification. Since the cannulas are already in place, the surgeon is able to remove the lens with a cutter. Endolaser is performed to treat an iatrogenic retinal tear and an IOL is placed in the ciliary sulcus.

Posted: 5/04/2012

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Timely Lens Dislocation

Ozcan Kayikcioglu

Ozcan Kayikcioglu, MD, presents a patient with proliferative diabetic retinopathy that undergoes a 23-gauge pars plana vitrectomy and membranectomy. A sharp instrument comes in contact with the sclerotic lens, necessitating a lens removal. The nucleus drops in early stages of phacoemulsification. Since the cannulas are already in place, the surgeon is able to remove the lens with a cutter. Endolaser is performed to treat an iatrogenic retinal tear and an IOL is placed in the ciliary sulcus.

Posted: 5/04/2012

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Comments

Ozcan Kayikcioglu

13 years ago

Although we did not have any trouble in this case, adviced IOL in such cases is three piece IOLs for sulcus implantation.

ari weitzner

13 years ago

looks like an alcon sn60wf-type iol. may cause trouble in the sulcus (ugh syndrome/iris chafing)

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