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Macular Hole Surgery under a Dancing Intra-Ocular Lens IOL

  Channels: Retina | Posted 7/26/2013

Shlomit Schaal, MD, Ph.D, Taylor Strange, MD, and Niloofar Piri, MD; present 25G vitrectomy surgery for a macular hole under a dislocated broken haptic intra-ocular lens. A 64-year-old Caucasian gentleman presented with a dislocated scleral sutured intra-ocular lens and a full thickness macular hole. 25G trocars were inserted in a beveled manner. 25G vitrectomy was performed under the dancing lens. The ILM was peeled using Tano brush and Eckhart’s forceps. Perfluorocarbon heavy liquid was injected to protect the posterior pole, and thereafter the IOL was captured with intra-ocular forceps and removed from the eye. An anterior chamber IOL was implanted next. The eye was filled with SF6 gas and the patient was placed in a face down position.

Macular Hole • Retina