An extremely frail, elderly patient undergoes phacoemulsification performed on her only sighted eye.

An eye with a decentered and tilted posterior chamber IOL that is fixated to the sclera by the Yamane method undergoes IOL exchange to a new posterior chamber IOL that is also attached to the sclera by the Yamane technique.

A patient with Marfans syndrome and late posterior dislocation of a sutured single piece PMMA IOL is presented.  Methods to reposition and resuture the IOL to the sclera are demonstrated.

A patient with Marfans syndrome and late posterior dislocation of a sutured single piece PMMA IOL is presented.  Methods to reposition and resuture the IOL to the sclera are demonstrated.

A visible opening in the posterior capsule is present in a post-vitrectomy eye undergoing cataract-implant surgery.

Techniques that minimize posterior dislocation of lens material and permit capsular fixation of the IOL are presented.

After DSAEK, a hydrophilic acrylic IOL develops calcification that requires an IOL exchange

The desired refractive outcome in this patient is the major subject of this video.  Consideration of the functional visual field is extremely important, and a postoperative refraction that produces significant improvement in the patient’s field of vision is recommended.

A highly myopic patient requires deep sedation in order to overcome an extremely forceful Bell’s phenomenon.  Methods to deal with this problem while maximizing the safety of the procedure in such patients are presented.

An extremely myopic eye with an increased anterior chamber depth that reduces visibility of the nucleus receives an intravitreal injection to overcome the problem.

A complex procedure is performed, including pars plana vitrectomy, manual aspiration of residual lens cortex, and elevation and removal of a dislocated IOL from the vitreous cavity. The case successfully concludes with insertion of a 3-piece IOL into the ciliary sulcus.