Diagnosing an Opaque IOL

Dr. Ashraf Armia finds a surprising cause of vision loss in a 78-year-old pseudophakic patient. The patient underwent a pars plana vitrectomy due to a differential diagnosis of diabetic vitreous hemorrhage, vein occlusion and hemorrhagic choroidal neovascular membrane. Following a core vitrectomy, it became obvious that his vision loss was caused by an opaque IOL. Despite a fibrotic anterior capsule, an IOL exchange was successfully performed.