Explantation of damaged foldable acrylic lens with implantation of foldable intraocular lens without enlarging incision.

Phacoemulsification with foldable intraocular lens (IOL) implantation has several advantages because of smaller incision and sutureless technique. The visual recovery is usually fast and any surgically induced astigmatism can be kept at lowest. With increased number of trained phacosurgeons in Nepal, more phacosurgeries with foldable lens implantation are being done. Main purpose of this article is to share our experience with ophthalmic surgeons about the technique of explantation and exchange of foldable hydrophilic acrylic lens with good visual outcome in the post operative period. This article describes a case of damaged intraocular lens within the capsular bag. This was successfully managed by snapping the lens into several pieces and explanting the same lens without enlarging the incision. Explantation of lens was followed by implantation of a new foldable lens with good surgical outcome.