Macular pucker surgery using 25 gauge small incision "no stitch" system and repositioning of decentered intraocular lens
This 67 year old white male has noticed decreased vision in his left eye for one year. He had a cataract surgery one year ago. His vision did not improve. It looked like he had a thumbprint in front of his lens. Then aout six months ago he noticed his vision becoming more foggy. He is diabetic for 18 years and has high cholesterol, high blood pressure and heart disease. He was recently diagnosed with glaucoma and started on a pressure lowering eye drop.
His visual acuity on presentaiton was 20/50 in each eye. His intraocular lens was displaced superiorly in each eye. In the left eye the intraocular lens was displaced enough so that the edge of the lens was at the visual axis. His left eye also had a macular pucker. He also had optic nerve cupping in each eye.
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