Cataract Surgery Through a Clouded View

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Dr. Al-Mohtaseb presents the case of a 60-year-old man with a history of Stevens-Johnson syndrome and multiple medical comorbidities. He had significant corneal scarring, neovascularization, and limbal stem cell deficiency in both eyes and hand motion vision in the right eye. With the PROSE lens, he was 20/70 in the left eye and was very functional until he developed a dense cataract resulting in light perception vision. Given the poor view through his cornea, Dr. Al-Mohtaseb used a light pipe to aid in visualization during cataract surgery. To remove the lens, she used a stop-and-chop technique and inserted a three-piece IOL in the bag. The patient was 20/80 3 months postoperatively.

Posted: 2/15/2017

Cataract Surgery Through a Clouded View

Dr. Al-Mohtaseb presents the case of a 60-year-old man with a history of Stevens-Johnson syndrome and multiple medical comorbidities. He had significant corneal scarring, neovascularization, and limbal stem cell deficiency in both eyes and hand motion vision in the right eye. With the PROSE lens, he was 20/70 in the left eye and was very functional until he developed a dense cataract resulting in light perception vision. Given the poor view through his cornea, Dr. Al-Mohtaseb used a light pipe to aid in visualization during cataract surgery. To remove the lens, she used a stop-and-chop technique and inserted a three-piece IOL in the bag. The patient was 20/80 3 months postoperatively.

Posted: 2/15/2017

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