Recurrent Macula-Off Retinal Detachment with PVR, Cataract and ICL

In this surgical video, Drs. David Sia and David Ehmann repair a recurrent retinal detachment with proliferative vitreoretinopathy (PVR) in a 39-year-old highly myopic patient who previously underwent an implantable contact lens (ICL) procedure. Due to significant pigment clumping behind the ICL, the ICL was first anteriorized using viscoelastic and then removed with MaxGrip forceps. Phacoemulsification was performed to remove the mild cataract and the patient was left aphakic with the capsular bag intact. An encircling band (240) was placed prior to pars plana vitrectomy. The internal limiting membrane (ILM) was peeled from the macula and extended temporally to the star fold where a localized retinectomy was made. Silicone oil was used as a tamponade. 

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