-: This is a dislocated lens due
to Marfan syndrome.
I create two paracentesis incisions followed
by the administration of lidocaine,
followed by viscoelastic.
I create my main incision, add more viscoelastic.
The vitrector is unable to break up this native lens.
A two double-chopper technique is unable to do so, either.
I widen the incision and I add more viscoelastic
and then use a lens spoon to essentially burp
out the native lens, as you'll see right here.
I then repeat anterior vitrectomy.
And then I'm going to place a 3-piece IOL
in a non-folded state.
Mark the eye for the Yamane technique,
place a 30-gauge thin-walled needle,
and here I'm cannulating the leading haptic.
And now I'm going to cannulate the trailing haptic.
I will then externalize each haptic
and then I'm going to apply low-temp cautery
to create a terminal flange on each side.
And then I will tuck them each
into the intrascleral tunnel on each side.
And then I will administer intracameral Miochol
to constrict the pupil.
And then I'm going to again inspect the flanges,
repeat anterior vitrectomy.
I will then hydrate all the incisions
with intracameral moxifloxacin.
And that wraps up the case of the management
of a dislocated native lens into the anterior chamber
due to Marfan syndrome, which was managed
with lens explantation
and Yamane intrascleral haptic fixation.
Thanks for your attention.