MAY 14, 2018
Rescue of Dislocated Piggyback IOLs
Editors' Choice
01:37
Cataract/Anterior Segment, Complications, IOLs and Implantation, Retina/Vitreous
Dr. Sabin Dang rescues and fixates a pair of dislocated lenses via 27-gauge sclerotomies. The patient was referred for decreased vision secondary to dislocation of 2 piggyback IOLs. She had a complex clinical history involving radial keratotomy and retinal detachment repair, followed by cataract surgery. At the time of her cataract surgery years prior, she had a significant refractive surprise, which was corrected with a second piggyback lens. Due to scars from her corneal radial keratotomy and poor dilation, externalizing the lenses through the anterior chamber was not an option. After this procedure, the patient regained her predislocation vision with minimal refractive change, and avoided the recovery and risks associated with large wound creation.
Relevant Financial Discosures: None