1906: decentered IOL & fibrosed capsule

This patient underwent cataract surgery a few years prior and now presents to you with a dislocated sulcus IOL and a fibrosed capsular bag. It appears that there was a posterior capsule rupture at the time of the original cataract surgery. Now this IOL is causing issues as it moves around in the suclus, scraping the back of the iris, causing inflammation, and giving the patient suboptimal vision. What is your approach to fixing this tough situation? Would you do an IOL exchange?

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