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Niloofar Piri, MD, Shlomit Schaal, MD, PhD
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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.
Posted: 7/26/2013
Niloofar Piri, MD, Shlomit Schaal, MD, PhD
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.
Posted: 7/26/2013
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pedro victor de miguel simo
11 years ago
You can fill the anterior chamber of partial interchange of air and sustitute for viscoelastic . After that you can put the iol in the anterior chamber and made the vitreos surgery without loosing corneal clarity.
Shlomit Schaal
12 years ago
Thank you for your comment. We were worried about loosing the corneal clarity. This patient underwent several previous ocular procedures. therefore, we decided to remove the IOL only after ILM peeling.
Omar Barrada
12 years ago
Why didn't you just remove the IOL prior to treating the macular hole?