1898: IOL exchange with open capsule

There are times when an IOL exchange is the best answer for a challenging clinical situation and in this case, the patient has an opacified IOL which is now opaque and severely limiting the vision. The patient also had a YAG laser capsulotomy so the posterior capsule is wide open. How would you perform this IOL exchange? Would you cut, fold, or twist the IOL to explant it? And how would you minimize the vitreous prolapse and insert the new IOL? Our guest surgeon does a beautiful job with this tough case. And you may be surprised with the technique of IOL explanting…

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