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    Dislocated "Lupini Bean" Cataract With Total Retinal Detachment

    By Joseph Toma, MD, MSc, PhD, Sami Uwaydat, MD
    Cataract/Anterior Segment, Retina/Vitreous

    Drs. Joseph Toma and Sami Uwaydat tackle a nontraumatic lens dislocation complicated by a total retinal detachment in an 83-year-old patient. After placing an encircling band, they perform a pars plana vitrectomy and use perfluoron (perfluoro-n-octane) to float the lens to the level of the iris plane for phacoemulsification. After tightening the encircling band, 360-degree laser was applied and air–fluid exchange performed. C3F8 gas was used as a tamponade. The retina was later attached at a follow-up visit.

    Financial Disclosures: Dr. Joseph Toma discloses no financial relationships. Dr. Sami Uwaydat discloses no financial relationships.