AAO 2015

    Despite advancements in the techniques of cataract surgery, late dislocation of the IOL bag complex continues to be a challenge. Pseudoexfoliation is a known cause of progressive zonular weakness. The use of capsular tension rings for cases of zonular weakness helps to stabilize the bag and aid in IOL placement and centration. This video shows the novel technique of vitrectomy and removal of a hydrophobic IOL along with the bag — which surprisingly contained 2 capsular tension rings inside — using 23-gauge forceps. A secondary posterior iris claw lens was then placed. Postoperatively, the patient was satisfied with good vision.