Multifocal IOL exchange with small CCC
by David Chang

Video Atlas of Ophthalmic Surgery

by Ashok Garg
About Video

This 66-year-old woman is more than 6 months status postbilateral diffractive multifocal IOL implantation. Because she cannot tolerate the halos and other unwanted visual effects at night, she has requested, and been referred to IOL exchange. The capsulorhexis diameter from the initial surgery was very small, and poses the problem of how to explants this IOL without causing a tear in the CCC edge. Performing a secondary capsulorhexis en­largement at the outset was considered, but was ultimately

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