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Michael Patterson, DO
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This is a video aimed at showing an unexpected complication. Most videos only highlight great surgery, but this video highlights some basic steps to take when the surgery is not going as planned. Every surgeon needs to plan for the worst when repositioning IOLs. With proper preoperative planning, the procedure was able to be salvaged and ended in a great visual acuity result.
Posted: 10/17/2016
Michael Patterson, DO
This is a video aimed at showing an unexpected complication. Most videos only highlight great surgery, but this video highlights some basic steps to take when the surgery is not going as planned. Every surgeon needs to plan for the worst when repositioning IOLs. With proper preoperative planning, the procedure was able to be salvaged and ended in a great visual acuity result.
Posted: 10/17/2016
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Maria Soledad Romero
8 years ago
Thanks! I will try this for me next glued IOl next week. I'll keep you posted. Thanks again
Maria Soledad Romero
8 years ago
Great resolution of the case! last week I had the same surgical experience :( I have a quick question - how do you calculate the IOL power?
Michael Patterson
8 years ago
For these cases, I measure the axial length with aphakic and pseudophakic measurements set on the IOL Master as well as the Immersion A-Scan. I compared the measurements to the fellow eye to have an idea and assure axial lengths are similar (within 0.2 mm hopefully). After this, I have back up lenses for my plan of -0.50 D Spherical equivalent assuming I am placing the lens essentially in an "in the bag" location. I also have an anterior chamber lens for back-up just in case of a true disaster. Obviously, this requires intense pre-surgical planning. Hope this helps