DR. DANTE BUONSANTI
, Dr. SATISH CHANDER GUPTA
Abstract
The patient have had cataract surgery 2 years ago and a vitrectomy 20 years ago.
She had a toric single piece IOL placed in sulcus, and posterior capsule was ruptured
The IOL was only able to be seen if the patient looked up and down fast, i could see the haptic going down.
The pupil was too small, but the posterior pole was examined and the IOL was assumed to be lying right behind the iris. She was told to sleep with two pillows and scheduled for surgery 24hours later.
At the microscope, the pupil was dilated with hooks, the IOL was located depressing the sclera about 3mm from limbus, and watching the reflection of the IOL trough the pupil.
A paracentesis was made,viscoelastic, A 30g needle was used to levitate the IOL about 3mm from limbus, and a micro forceps to hold the IOL and luxate it to AC. Exchanged by a 3pcIOL, a haptic was sutured to iris. Great , reproducible. No need of VR surgeon
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