DEC 12, 2019
Cataract/Anterior Segment, Retina/Vitreous, Vitreoretinal Surgery
In this surgical video, Dr. Enchun Liu performs a rescue of a dislocated IOL–bag complex with a 25-gauge vitrectomy and 27-gauge cannula-based scleral fixation of the patient's existing IOL. The 86-year-old patient had a previous vitrectomy for a retinal detachment repair more than 20 years ago, and recently noticed a decrease in visual acuity from 20/80 to count fingers due to complete posterior dislocation of her IOL-bag complex into the vitreous cavity. Using a 25-gauge chandelier light, Dr. Liu manipulates the Soemmering ring and capsular bag remnants off of the IOL with a bimanual technique. The IOL is then repositioned in the sulcus using a 27-gauge cannula-based technique first described by Drs. Abbey, Wolfe and Williams. Terminal bulbs of the externalized IOL haptics are created using high-temp cautery technique first described by Dr. Shin Yamane. The patient's visual acuity improved to 20/100 after surgery. At 2 months postop, the IOL remains stable with visible haptics underneath the conjunctiva.
Relevant Financial Disclosures: None