Pars Plana Dislocated IOL removal - Dr. Kushal Delhiwala скачать в хорошем качестве

Pars Plana Dislocated IOL removal - Dr. Kushal Delhiwala

Dr. Kushal Delhiwala demonstrates a Minimal invasive method of Pars-plana dislocated IOL removal, avoiding coexistent sulcus IOL manipulation A 55 year male presented with dropped foldable IOL following left eye phacoemulsification for Mature cataract. He also had stable 6.5 mm optic 2nd PMMA IOL in sulcus. Patient was posted for Left eye vitreous surgery with challenge of removing dropped IOL without disturbing sulcus IOL. 3-port 23G pars plana vitrectomy was performed using 25G chandelier infero-temporally and localized limbal conjunctival peritomy superonasally. After PVD induction with triamcinolone, vitreous was cut along with dropped lens matter. PFCL was used to protect posterior pole and dislocated IOL was lifted by intraocular forceps. Superonasal port was enlarged to 3 mm and Vannas angled Capsulotomy Scissors was introduced intra-vitreally to cut IOL optic in 2 halves. Each half was removed via 3mm port which was later sutured. PFCL was aspirated, prophylactic cryotherapy was done posterior to superonasal port and ports were secured.Post operative BCVA 1 month later was 20/30 with stable sulcus IOL and attached retina.