Dr.SHOUVICK DAN

Abstract

PURPOSE: To describe dilemma in diagnosis of a non resolving symptomatic floater in a patient having intact posterior capsule with a centrally placed in the bag PCIOL and the way of its management

METHODS: After diagnosis of an unusual presence of a second foldable IOL in vitreous cavity in presence of intact posterior capsule with in the bag foldable PCIOL, Firstly a routine 3 port 25G vitrectomy was done and all vitreous adhesions was removed from second IOL.Then the first IOL was removed from the bag and explanted from the eye.Then a GUPTA ring was introduced to tackle intraoperative miosis.Then a central capsulectomy was performed and the second IOL was removed through that opening.Finally a multipiece IOL was placed in sulcus with proper optic capture to avoid decentration of IOL

RESULT: Patient regained 6/6 BCVA after 3wks follow up

CONCLUSION: We shouldn’t be prejudgemental by our own level of perceptions, rather we should always remain open minded

FINANCIAL DISCLOSURE: None