University of Iowa Health Care

Ophthalmology and Visual Sciences

IOL exchange for transscleral-sutured PCIOL and McCannel suture iris repair

Contributors:  Jesse Vislisel, MD and Kenneth M. Goins, MD

This patient developed pseudophakic corneal edema with an anterior chamber intraocular lens (IOL) in place.  A plan was made to perform Descemet membrane endothelial keratoplasty (DMEK), but the patient first underwent IOL exchange for a transscleral-sutured posterior chamber IOL using an Alcon CZ70BD lens and 9-0 Prolene suture.  Repair of his large superior peripheral iridotomy was also performed in preparation for the DMEK using a McCannel suture technique.  This patient was already vitrectomized, otherwise an anterior vitrectomy would need to be performed prior to IOL insertion.

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last updated: 12/17/2015
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