Nanophthalmos Pars Plana 23G vitrectomy and iridozonulohyaloidectomy with high-power XTremeD lens by Ike Ahmed

Angle closure glaucoma with nanophthalmic eye, 16.34mm axial length, 1.94mm AC depth, 5.05mm lens thickness, with central endothelial cell count of 800. IOL calcs called for 53D IOL, implanted XTreme D foldable high-power lens. Started case with 23G pars plana limited anterior vitrectomy, and also used to make anterior approach iridozonulohyaloidectomy (IZHV) to prevent postop malignant glaucoma.