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IOL Exchange After YAG Capsulotomy Five Years Out

  Channels: Cataract Surgery | Posted 3/2/2015

Lorenzo J. Cervantes, MD, shares the case of a patient who presented 5 years after cataract extraction with multifocal IOLs in both eyes. He complained of persistent poor quality vision and significant glare in his second eye, which had previously been treated with a generous posterior YAG capsulotomy and several PRK enhancements. This video demonstrates the removal of a single-piece acrylic multifocal IOL from a compromised capsule several years after its initial implantation. Following explantation, anterior vitrectomy, and placement of a sulcus three-piece IOL are performed. The patient reported a marked improvement of the quality of his vision by his one-month post-op visit.

Capsulotomy/Capsulorrhexis • Cataract Surgery • IOL Exchange/IOL Explant • Multifocal IOLs • Photorefractive Keratectomy, PRK • Vitrectomy • YAG

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