Strategic Difficulty:

Explantation of the IOL at the beginning of the procedure via a large wound will disturb intra ocular fluid dynamics during the rest of the surgery. keeping the IOL tilted will obscure visualization of the posterior segment and the IOL may be dislocated posteriorly at any time during the procedure.

My Option:

I could readjust and relocate the 3 piece IOL into the anterior chamber level, and kept it centered so that i have proper visualization of the posterior segment and avoid posterior dislocation of the IOL. I explanted the IOL before silicone oil injection, and i postponed secondary IOL Implantation till the silicone oil removal procedure.

Contact Details:

Email: waelewais74@gmail.com
Cell Phone: +201223638643