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Posterior Capsule Punch to PCCC for Toric IOL

A patient with a previous scleral buckle for retinal detachment wants a toric IOL. Fluidics behave unusually during phacoemulsification and at some point a small, circular tear occurs in the posterior capsule. Lisa Arbisser, MD, converts the tear into a PCCC and implants a one-piece toric lens.

The images used herein attributed to Steve Charles, MD, are reprinted from Charles S, Calzada J, Wood B. Vitreous Microsurgery. 5th ed. Baltimore, MD: Lippincott, Williams, & Wilkins; 2011, with permission from Lippincott, Williams, & Wilkins.

© 2020 Bryn Mawr Communications LLC