Our guest surgeon, Dr Steve Safran has become an expert in complex re-operations and anterior segment reconstruction, with countless cases on his youtube channel. This case is complex with a prior history of radial keratotomy, prior pan-retinal photocoagulation (PRP) for proliferative diabetic retinopathy, a broken lens capsule, dislocated IOL, and retained lens material. The repair for this case is equally complex, necessitating a pars plana vitrectomy, use of the phaco fragmatome, IOL exchange, Yamane intra-scleral haptic fixation (ISHF) for the IOL, and even a pupilloplasty. Truly a pleasure to learn from this case.
