This is a 65 year old monocular patient with a dislocated lens and a collapsed capsular bag full of lens material behind the IOL blocking the visual axis. He has a history of a retina detachment in this eye that was repaired with a scleral buckle. His cataract surgery was done years ago and was complicated but he has been wary of fixing this problem in his good eye despite poor vision until he came to me resolved to see better. Here we are going to remove the lens bag complex and replace with Yamane ISHF but the dense S ring material falls posteriorly and has to be removed with a pars plana approach.
