On yesterday’s CataractCoach Podcast we featured Dr Beeran Meghpara from Wills Eye Hospital in Philadelphia and we talked about very important issues for younger colleagues when comparing job opportunities between private practice, academics, and corporate jobs such as those owned/run by private equity and large medical groups. Definitely check that out for an enlightening discussion. We also spoke about challenging cataract cases and today we feature a case where Dr Meghpara addresses a dislocated multi-focal IOL (MFIOL) by performing an IOL exchange and then using gore-tex to suture a new IOL to the sclera. What would be your approach to this tough case? Please comment below.
Dear Dr Devgan
I wrote you several weeks ago regarding a dislocated iol with capsular phimosis just to follow up. I was very patient and got the lens to spin out of its capsular adhesions in the bag it positioned itself centrally, and then took a pair of scissors curved and straight and basically cut the phimosis in all quadrants the implant stayed centered and she’s two weeks out in 2020 and very happy. Appreciate your discussing this case with me my only regret as I did not video it
I applaud you for your professionalism and your willingness to share your expertise. I’m a 65-year-old surgeon and I’ve learned so much from you again. I hope you have a great day. Hope to be able to meet you someday
Sincerely Steven Sterling
great outcome for that tough case!
thanks for the follow up