This is a patient with intractable edge glare/positive dysphotopsia and 3+ glistenings referred to me 2 years out from her initial surgery. Her rhexis is larger than her optic and fibrosed shut for most of it's circumference. The only place to enter the capsular bag is at the haptic where the anterior capsule crosses it. This is done with a Lasik Canula with viscoelastic injected through it. The capsular bag is successfully reopened and the IOL Xchange performed. The patients positive dysphotopsia were eliminated with this surgery and her best corrected vision improved by one line.
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