Our guest surgeon today is Dr Steve Safran who has great surgical talent for complex revision cases especially with IOL … More
Tag: iol exchange
2650: Explanting a segmented ClearView 3
The Lenstec Clearview 3 multifocal intraocular lens (IOL) is designed to provide vision at multiple distances, often reducing the need … More
2619: IOL exchange with an open capsule
We recently featured a video where I explained some patient situations where a multifocal IOL could be problematic. One of … More
2598: Avoid MFIOLs in these patients!
These are the patients where I tend to avoid using multi-focal and trifocal IOLs. While these diffractive design MFIOLs can … More
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 … More
2422: IOL exchange with open capsule
Performing an IOL exchange can be tricky, particularly if the patient has already had a YAG laser capsulotomy. In this … More
2376: calcified IOLs can be difficult to cut
There are some IOLs that can become opacified in certain circumstances. This is may be due to deposition of calcium … More
2373: Pinhole IOL explant & IOL exchange
This patient had cataract surgery with an Apthera IC-8 IOL (Bausch & Lomb) months ago in order to give an … More
2326: Quiz: How do you explant this IOL?
This patient has a dislocated single-piece acrylic IOL that needs to be explanted so that a three-piece IOL can be … More
2313: a surgeon’s first IOL exchange case
Sooner or later we are all going to have to perform an IOL exchange for a patient. This video shows … More
2275: IOL exchange with an open capsule
In our recent podcast with Dr Shannon Wong, he explained that he was doing more IOL exchanges in eyes with … More
2228: you notice this IOL optic crack…
In this case, the patient started with a dense, opaque cataract and a pre-operative vision of 20/200 or worse. The … More
2227: explant LAL and replace with trifocal
This patient received a light adjustable lens (LAL) and was not happy with the performance of the IOL even after … More
2156: should you amputate the haptic?
For an IOL exchange, if you cannot free the haptic from the capsular bag due to adhesions, should you amputate … More
2124: IOL exchange and pars plana vitrectomy
This patient complains of “multifocal misery” as well as extensive floaters which can further degrade the image quality. An IOL … More
2118: bilateral IOL exchange
This patient elected to have bilateral cataract surgery with multifocal / trifocal IOLs but then did not like the quality … More
2084: modified twist and out IOL explant
We have featured the twist-and-out technique to explant an acrylic IOL through a standard phaco incision using just a spatula … More
1982: IOL exchange with open capsule
This patient received a light-adjustable lens (LAL from RxSight) and was not happy with the outcome due to both negative … More
1965: IOL exchange with haptic amputation
All cataract surgeons should learn how to perform and IOL exchange. And we have many videos that show you how … More
1957: challenging opacified IOL exchange
Rarely, IOLs will opacify with time with some designs more prone to this than others. In these cases we need … More
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, … More
1803: broken IOL complications
IOLs are delicate and when we roll them and compress them in order to fit through smaller incisions, rarely the … More
1800: dealing with opacified IOLs
There are times when certain hydrophilic acrylic IOLs end up become opaque with time. This is thought to be a … More
1795: IOL exchange is not always the solution
When patients need it, I am a firm believer in IOL exchange. We can go back inside the eye and … More
1666: IOL exchange for glare, halos
Some patients just cannot tolerate a trifocal IOL design and that is compounded if the refractive target is missed and … More
1635: Would you do an IOL exchange?
Let’s say that you have a patient who already had cataract surgery more than a year ago. At that time … More
1608: different ways to explant IOLs
99% of the time the IOL implanted at the time of cataract surgery is the one that the patient will … More
1511: explanting the bag + IOL + CTR
This patient has late dislocation of the entire capsular bag including the capsular tension ring (CTR) and the IOL. To … More
1477: ASCRS case 8: IOL exchange
There comes a time every so often when you will need to perform an IOL exchange. This is not as … More
1295: how to un-inject an IOL to explant
IOL exchange is an unusual procedure and it is safe to say that more than 99% of patients who receive … More
1291: IOL exchange segment bifocal IOL
Some may think that a segment bifocal IOL would have no sacrifices in visual quality compared to a bifocal (or … More
1250: IOL exchange with open PC
For an IOL exchange procedure, it is easier to proceed if the posterior capsule is still intact because it forms … More
1236: IOL exchange & Yamane technique
The Yamane technique for IOL fixation to the sclera is an innovative way to secure a three-piece IOL in the … More
1229: IOL exchange & Soemmering Ring
This patient had cataract surgery years prior with significant intra-operative complications. The posterior capsule was ruptured and a sulcus IOL … More
1204: IOL exchange with stuck haptic
This patient has very high demands for his vision and to address the issue of presbyopia in his mid 50s … More
1147: white cataract & damaged IOL
This intumescent white cataract case becomes even more challenging when the IOL was misloaded by the surgical tech and the … More
1135: IOL cutting for IOL exchange
Our guest surgeon is Jeff Whitman MD from Dallas, Texas, USA who shows us his technique for IOL exchange. While … More
1107: IOL exchange of very unusual IOLs
Master surgeon Dr. Val Apostolov from Amsterdams shares with us some unusual cases. These are both IOL exchange surgeries for … More
1011: Opacified IOL Exchange
While it is rare, some IOLs can become opacified with time. This has been reported primarily with hydrophilic acrylic materials … More
1003: Why did the patient go elsewhere?
This video shows two complete surgeries, both presented at high speed. The original cataract surgery was performed by me and … More
Twist and Out to Explant IOLs
I first saw Jack Chapman MD explain his technique to explant an IOL at a large ophthalmology meeting about 10 … More
How to dissect the IOL out of the bag
When we are doing an IOL exchange, the first step is to carefully dissect the old IOL out of the … More
compilation video: IOL exchange
Every cataract surgeon needs to learn how to perform an IOL exchange because, although it is rare, we sometimes need … More