DR. ARUN KUMAR

, Dr.MEHUL SHAH, Dr. SHREYA SHAH, DR. VEDANT RAJORIYA

Abstract

INTRODUCTION: INCIDENCE OF PCR IS VARIABLE AND THE REPORTED NUMBERS ARE BETWEEN 0.2% TO 14%DEPENDING ON SURGEON’S EXPERIENCE. BUT IT CAN BE SIGHT THREATENING DUE TO SEVERE INTRAOCULAR INFLAMMATION CAUSING SECONDARY GLAUCOMA, CORNEAL EDEMA, CME AND RD. A 65/F PRESENTED WITH LOSS OF VISION AND PAINFUL EYE WITH VA HM, ON EXAMINATION SHE WAS FOUND TO HAVE AC PMMA LENS,CORNEAL EDEMA, SHE WAS ADVISED FOR LENS REMOVAL.

METHOD: THE VIDEO DEMONSTRATES REMOVAL OF AC PMMA LENS, DURING VITRECTOMYWE FOUND ACRYLIC LENS AND CRYSTALLINE LENS FRAGMENT IN VITREOUS, LENS FRAGMENT WAS REMOVED BY FRAGMENATION AND ACRYLIC IOL WAS REMOVED. AFTER ONE MONTH SCLERAL TUCK LENS WAS IMPLANTED.

CONCLUSION: AFTER ONE MONTH VISION OFPATIENT REMARKABLY IMPROVED FROM HM TO 6/24. IT NEEDS TO BE EMPHASIZED THAT PRIMARY SURGEON SHOULD HAVE CLOSED THE CASE AT PCR WITH IOL DROP AND SHOULD HAVE REFERRED TO VITREORETINAL SURGEON TO AVOID FURTHER COMPLICATIONS.