Hyphema at 1 day PO cataract surgery with iStent | Figure 1

DrPopa

Optometrist

Hyphema at 1 day PO cataract surgery with iStent

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Nice lady from Mexico, 68yo, diagnosed with cataract. H/o prior Lasik within past 10 years. Can't remember if used to see better distance or near. Shown are the IOL master measurements and topography. Handwritten are manual Ks. What IOL power to insert for best distance vision? I'll post answer later.

Female, 57 years old, history of confusing facial trauma 7 months ago. RO with CV: 20/60. Subluxation of the lens of Meridian 11 - Meridian 5. Absent inferior capsular remnant. Phacodonesis + Iridodonesis. Ocular fundus without alterations Before cataract surgery, which technique would you use? In this case we opted for Lensectomy and IOL implantation with scleral fixation. What do you think? Femenino 57 años, antecedente de trauma confuso facial hace 7 meses. OI con CV: 20/60. Subluxacion del cristalino de Meridiano 11 - Meridiano 5. Remanente capsular inferior ausente. Facodonesis + Iridodonesis. Fondo de ojo sin alteraciones ¿Ante la cirugía de catarata, cuál técnica utilizarían? En este caso optamos por Lensectomia e implante de LIO con fijación escleral ¿Qué opinan?

70 patient with multifocal IOL (Tecnis Symfony.)](https://app.figure1.com/case-detail/0c6b5ae4-1880-4101-bbab-e1b879d8b6b5)

A Technician sees a patient who claims they has "cataract surgery of some sort" and looks at the history and was amazed that this patient had axial lengths of 30mm OU! Patient is 20/20-2 in each eye unaided. An OCT was done the same day since the Tech was asked to perform, and both eyes looked very similar to the image (this was the patients right eye). Patient is phakic OU, what could have been done, surgery wise, and what can be seen in the image? The white arrow should help.