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Case Description: A 79-year-old patient came to our clinics with blurred vision in the right eye. The patient underwent bilateral cataract surgery with Oculentis L-303 lens implantation 10 years ago. The examination revealed that the visual symptoms caused by an opacified IOL in the right eye with the following refraction: RA: +0.75 -1.0 / 107 VA = 0.04 LA: +1.0 -1.25 / 82 VA = 0.63 Therefore, we decided to remove the opacified IOL with the capsular bag and exchange it with a 3-piece IOL in the capsular bag. Two months after the surgery, the lens was stable in the capsular bag with the following refraction: LA: 0.00 -0.25 / 128 VA = 0.8 Surgical technique: 0:00 Intro 0:29 Opening the incisions 0:50 IOL dissection 2:03 The extraction maneuvers 3:06 IOL explantation 3:40 Residual cortex removal 5:16 CTR implantation 6:22 3-piece IOL implantation 6:48 Viscoelastic removal 7:28 Wounds closure lens opacification, hydrophilic lens calcification, hydrophilic lens opacification, Oculentis, Oculentis L-303 opacification, 3-piece IOL, linsentausch, 3-piece IOL exchange, 3-piece IOL extraction, cataract surgery, cataract surgery procedure, lens, Katarakt, Grauer Star, eye surgery, intraocular lens, phacoemulsification, dr. med. (Univ. Bud.) Matthias Gerl, grauer star op, grauer star operation, eingetrübter Optik #IOL_opacification #linsentausch #Oculentis #opacified_IOL #cataract_surgery #phacoemulsification #cataract #Lens #eye_surgery #ophthalmology