In this case, the IOL is falling back into the vitreous cavity and it is certainly entangled with the vitreous. This calls for a pars plana approach to remove the vitreous and bring the IOL up to the anterior segment. How would you secure this IOL? Or would you explant it and use a different type of IOL such as iris-claw IOL or anterior chamber IOL? Our guest surgeon does a beautiful job of rescuing this challenging case and giving the patient good vision.
