Opacified Oculentis IOL exchanged with PPV by Steven G. Safran MD скачать в хорошем качестве

Opacified Oculentis IOL exchanged with PPV by Steven G. Safran MD

This is a patient who has come from overseas with a calcified Oculentis multifocal plate haptic lens. Her trip to see me originally was planned 2 years ago but delayed because of the pandemic. During that time frame the Oculentis lens in the other eye has also opacified so she will have both lenses removed during her stay. Here we are doing the lens exchange in the first eye which has HM vision. The lens is removed with relative ease but the posterior capsule appears very loose and floppy so a decision is made to place the lens in the sulcus and optic capture it for stability. Throughout the procedure after removing the IOL and a red reflex is obtained, significant vitreous opacities/floaters can be seen. I am aware that she already had a vitrectomy floaterectomy in the other eye back in Australia so I am concerned that it is something that potentially could bother her once she regains vision in this eye so I've made an on the spot decision to do a pars plana vitrectomy and clean up the redundant loose posterior capsule and remove her vitreous opacities as well. An LRI for astigmatism is also performed. The next day in the office she was very happy with vision of 20/25 and a -1.0 refractive outcome.