A group of patients reported in the OPD with gradual onset severe loss of vision few years after successful Phacoemulsification. On examination all the cases were found to have opacified IOL material. The plan is to exchange the IOL from the bag with minimum manipulation and minimum incision length. There is risk of severe adhesion of IOL haptic in the capsular bag and posterior capsular rent due to previously performed YAG laser capsulotomy from misdiagnosis. In all the cases optic have been lifted out of the capsular bag into the anterior chamber after cutting the haptic and keeping it in situ. Then guitar wire in the form of a fine loop was introduced through the unfolder with 2.8 mm corneal wound to remove the opacified IOL. Limited Anterior Vitrectomy was done, if required. Foldable IOL was placed in the sulcus.
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