Surgical Repositioning of a Flipped and Backward Scleral-sutured IOL

Drs. Matthew L. O'Sullivan and Mark P. Breazzano present a case of an 85-year-old man with progressive iris atrophy, macular edema, and intermittent unilateral headaches following placement of a scleral-sutured Akreos IOL 5 years earlier. He was found to have intraocular lens haptics oppositely positioned with overlying fixated suture anterior to the lens, all of which corresponded to profound iris defects. These findings were consistent with a flipped and backward lens. The video demonstrates how the surgeons performed a pars plana vitrectomy with repositioning of this scleral-sutured lens without necessitating exchange or removal. 

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