Removal of Dislocated Posterior Chamber Intraocular Lenses Through Scleral Incision

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This 80 year old man had a dislocated, in-the-bag, intraocular lens. He had a previous pars plana vitrectomy. His cataract surgeon attempted an iris suture intraocular lens as a replacement and that fell into the vitreous cavity. Then, at the same sitting, the surgeon placed an anterior chamber intraocular lens. About 1 week later, the second posterior chamber intraocular lens moved forward and wedged itself in between the iris and the haptic of the anterior chamber intraocular lens. The patient then developed corneal edema. After removing these two lenses, the corneal edema cleared in about one month.

Posted: 9/20/2012

Removal of Dislocated Posterior Chamber Intraocular Lenses Through Scleral Incision

This 80 year old man had a dislocated, in-the-bag, intraocular lens. He had a previous pars plana vitrectomy. His cataract surgeon attempted an iris suture intraocular lens as a replacement and that fell into the vitreous cavity. Then, at the same sitting, the surgeon placed an anterior chamber intraocular lens. About 1 week later, the second posterior chamber intraocular lens moved forward and wedged itself in between the iris and the haptic of the anterior chamber intraocular lens. The patient then developed corneal edema. After removing these two lenses, the corneal edema cleared in about one month.

Posted: 9/20/2012

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Comments

matias iglicki

12 years ago

Dear dr Cohen congratulations on that !!! well done Dr matias Iglicki Md do you usually fix lenses to the sclera or you prefer to use an anterior chamber IOL ???