This is a 48 year old s/p pars plana vitrectomy and lensectomy with only anterior capsule remaining. He has a small central opening in the capsule and is aphakic. I performed a secondary IOL by converting his small opening into a larger one to accomodate a collar button capture of the optic and also did a scleral suture to guarentee good fixation in this young myope.
Secondary IOL/ collar button capture with scleral suture
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