Crystalens Z syndrome: IOL Xchange by Steven G. Safran MD скачать в хорошем качестве

Crystalens Z syndrome: IOL Xchange by Steven G. Safran MD

This is a young very high myope (30mm eye) one year s/p bilateral Crystalens surgery with 6 diopter implants who was referred to me with a severe Z syndromes in both eyes. There is a large gap between the posterior capsule and the IOL and I felt a Yag would not eliminate the Z and would likely lead to vitreous prolapse and risk to the retina. A decision was made to perform IOL Xchange for an AR40e placed in the bag which was fibrosed shut and needed to be reopened. There was general zonular weakness, most severe at 6:00 which likely contributed to the Z and made it impossible to dissect the plates out of the bag. It was necessary to leave the distal plates behind and implant the IOL behind them.