2453: kicked by a horse and IOL moves

When I was professor and chief of ophthalmology at a large UCLA teaching hospital, I saw a patient come to the emergency department after being kicked by a horse. The amount of facial trauma was staggering with a complex Le Fort fracture, a shattered orbit, a ruptured globe, and intra-cranial bleeding. Fortunately in this case, the kick was not as forceful and the only trauma sustained was a dislocation of the patient’s IOL in an eye that had cataract surgery many years ago. Given the title picture shown here, what would be your approach to address this situation and restore the patient’s vision?

video link here

https://youtu.be/HC2qyo0bN1I

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