2. Mark Packer, MD Financial Disclosure Consultant –Advanced Medical Optics, Inc. –Advanced Vision Science, Inc. –Bausch & Lomb, Inc. –Candeo Clinical/Science Communications, LLC –Carl Zeiss Meditec, Inc. –Carl Zeiss Surgical GmbH –Celgene Corporation –General Electric Company –Gerson Lehman Group, Inc. –Ista Pharmaceuticals, Inc. –i-Therapeutix, Inc. –Johnson & Johnson Vision Care, Inc. –Leerink Swann & Company –LifeGuard Health, LLC Sirion Therapeutics, Inc. –Transcend Medical, Inc. –TrueVision Systems, Inc. –Visiogen, Inc. –VisionCare, Inc. –WaveTec Vision Systems Travel & Honoraria –Endo Optiks, Inc. September 1, 2008

3. Re-opening bag, Repositioning the IOL, and IOL exchange Mark Packer, MD, FACS Clinical Associate Professor Department of Ophthalmology Oregon Health & Science University Drs. Fine, Hoffman & Packer, LLC Eugene, Oregon

4. Opening the Bag Viscodissection –Dispersive OVD –Small, blunt cannula –Dont fill AC –Haptic/optic junction –Expand bag

5. Repositioning the IOL Rotation Strip fibrotic membranes I/A

7. IOL Exchange Dysphotopsia –To YAG or not to YAG Power –Piggyback, Cornea No support –Suture

9. Thank You