By Monica Cid, MD
    Video Journal of Cataract and Refractive Surgery
    Cataract/Anterior Segment

    In this video Dr. Monica Cid illustrates the lesson that not every “bad IOL” needs to be removed. Her 81-year-old patient was diagnosed with an opacified IOL 4 years after cataract surgery and scheduled for explantation surgery. During surgery, Dr. Cid discovers what appears to be viscoelastic stained with white material coming from behind the IOL. As she cleans the material using her I/A tip, the “opacified” IOL becomes clearer. She believes the patient experienced capsular block syndrome during his initial surgery and some of the viscoelastic got stuck behind the IOL and opacified over time. BCVA improved to 20/25 following surgery.