Intraocular Lens Scaffolding

Drs. Abdelrahman Elhusseiny, Riley Sanders, and Ahmed Sallam present a case of posterior capsular tear during nucleus removal, and they demonstrate the technique of using the intraocular lens (IOL) as a scaffold for nucleus removal. Viscoelastic material was injected and the surgeons created a side port for bimanual anterior vitrectomy. The lens fragment was supported and moved anteriorly, the vitrectomy was performed with a high cut rate to remove prolapsed vitreous strands, and the cortex was completely removed. Finally, a 3-piece IOL was injected and dialed into the sulcus.

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