Pre-OP photo:
Ruptured posterior capsule, broken zonule .. Orz
Management:
1. Suture IOL
2. Replacement to AC IOL.
I choose the latter.
Surgical Procedures:
1. Bridle suture on SR.
2. Create conjunctival Flap (upper 90 degrees).
3. Create 5.5mm EC wound (2 plane)
4. Inject Viscoelastic agent to protect endothelium
5. pull out the subluxated PC IOL by hook.
6. Inject Myopstat to constric pupil.
7. Implant the AC IOL.
8. Perform Surgical Peripheral Iridotomy on 12 o'clock
9. Suture the EC wound by 10-o nylon.
10. Use I/A to remove viscoelastic agent.
BTW, complicated recurrent pterygium was also treated in the same eye.
