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    Expanding Your Surgical Armamentarium

    AAO 2022 Video Program
    Cataract/Anterior Segment, IOLs and Implantation, Retina/Vitreous

    A 39-year-old man presents with several months of fluctuating vision (20/70 to counting-fingers) and significant glare in the left eye. He has a history of aniridia, corneal prosthesis, tube shunt, and Morcher implant (combined artificial iris prosthesis and intraocular lens implant). A large scleral tunnel is created to remove the dislocated Morcher implant. Endoscopy is used to remove a haptic arm embedded in the ciliary body. A new iris prosthesis and intraocular lens are then surgically implanted. At 1 year, he has a final visual acuity of 20/70 and no glare.