Dislocation of IOL-CTR complex
by Boral Subhendu Kumar

Retina & Vitreous Surgery: A Practical Guide to Theory, Practice and Management

by Subhendu Kumar Boral, Suber S Huang
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This video demonstrates a case of endocapsular dislocation of posterior chamber IOL with capsular tension ring. TA-assisted vitrectomy done. With the help of passive suction by silicone tip back-flush needle, the whole IOL-CTR complex was bring just behind the pupillary plane and prolapsed in anterior chamber. The IOL-CTR complex removed through the scleral tunnel. Standard glued IOL surgery planned with same multipiece IOL. Vitreous-based excision done and scleral flaps made horizontally at 3 and 9 o’clock position. Entry through the base of scleral flap made and inferior haptic brought out first with end grasping forceps. Similarly superior haptic brought through the base of other scleral flap. Linear scleral tunnels made in both sides and haptic tips had been engaged into the linear scleral tunnels. Two solutions of glue applied over the bed of scleral flaps on both side and scleral flap reapposed. Conjunctival flap reposition done in a similar way.

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