IOL Removal via the Pars Plana

Dr. Kevin Rosenberg details the removal of a dislocated posterior chamber IOL from a patient with an existing well-placed anterior chamber IOL. After performing a 25-gauge pars plana vitrectomy, the fibrotic lens capsule was removed using a bimanual technique. Dr. Rosenberg then made a 20-gauge sclerotomy and cut the IOL into 3 pieces. Perfluoro-n-octane was used to protect the macula. After expanding the sclerotomy, the lens was removed piece by piece through the wound. He completed the procedure by closing the sclerotomy, clearing the perfluoro-n-octane, and applying laser to the peripheral retina.

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