Please could you give me your position to the opinion of a surgeon at a north german clinic, who almost refused to treat my floaters by carrying out a FOV?

My case:

Dec. 2011     Both eyes: Refractive Clear Lens Exchange
Jan. 2012     Both eyes due to Surgeon`s error (Multifocal Lens !!) IOL exchange
During that surgery the surgeon damaged severely my Iris of my RE
April 2012      Right eye: two partial aniridia rings / Morcher type 96G were implanted
          (90 degrees each) to repair the iris defect. (See attached picture)
Nov. 2012     Severe Floaters Left Eye / Moderate Floaters Right Eye
Sep. 2015      Right Eye: 3 not successful Nd Yag posterior capsulotomies due to
capsule opacification.
Access behind the 2 aniridia diaphragms is limited to 4mm pupil diameter,
Situation now / outcome of the mentioned above:
     Over > 90 degrees opaque capsule tissue remained as the YAG Laser beam didn't reach further, so my secondary cataract is only partially solved,
     1.) producing at each eye movement severe light streaks (dynamical and statically)
     2.) in addition many additional bothering floaters came up since last YAG treatment on Right Eye

My surgeon's opinion and position:

     vitrectomy is only solution to solve that severe bothering on my RE, but the risk is extremely high due to possible post or intra-operative Lens luxation, due to:
- too many hardware is in the capsule: IOL + 2 Morcher aniridia rings
- YAG Opening reduced stability of the capsular bag
- when being lucky and everything stays in place, some months / years post OP,
IOL will luxate or even drop (high risk, as he said)
- in addition vitrectomy weakens zonular fibers and capsule stability itself,
increasing above mentioned risk potentially

Please, could you give me your appreciated opinion to my case?
     Is really a FOV not recommendable due to the (special) case of my right RE?
     Does a PPV or FOV really compromise the zonulas?
     If really the zonulas are affected by Vitrectomy - How / why? Is it progressive?
     What is your opinion in regard to intraoperative problems / lens luxation?
     Could an anterior vitrectomy perhaps help to quit at least my remaining capsule opacity behind the aniridia diaphragms? Please could you give me your position to the opinion of a surgeon at a north german clinic, who almost refused to treat my floaters by carrying out a FOV?

My case:

Dec. 2011     Both eyes: Refractive Clear Lens Exchange
Jan. 2012     Both eyes due to Surgeon`s error (Multifocal Lens !!) IOL exchange
During that surgery the surgeon damaged severely my Iris of my RE
April 2012      Right eye: two partial aniridia rings / Morcher type 96G were implanted
          (90 degrees each) to repair the iris defect. (See attached picture)
Nov. 2012     Severe Floaters Left Eye / Moderate Floaters Right Eye
Sep. 2015      Right Eye: 3 not successful Nd Yag posterior capsulotomies due to
capsule opacification.
Access behind the 2 aniridia diaphragms is limited to 4mm pupil diameter,
Situation now / outcome of the mentioned above:
     Over > 90 degrees opaque capsule tissue remained as the YAG Laser beam didn't reach further, so my secondary cataract is only partially solved,
     1.) producing at each eye movement severe light streaks (dynamical and statically)
     2.) in addition many additional bothering floaters came up since last YAG treatment on Right Eye

My surgeon's opinion and position:

     vitrectomy is only solution to solve that severe bothering on my RE, but the risk is extremely high due to possible post or intra-operative Lens luxation, due to:
- too many hardware is in the capsule: IOL + 2 Morcher aniridia rings
- YAG Opening reduced stability of the capsular bag
- when being lucky and everything stays in place, some months / years post OP,
IOL will luxate or even drop (high risk, as he said)
- in addition vitrectomy weakens zonular fibers and capsule stability itself,
increasing above mentioned risk potentially

PleasPlease could you give me your position to the opinion of a surgeon at a north german clinic, who almost refused to treat my floaters by carrying out a FOV?

My case:

Dec. 2011     Both eyes: Refractive Clear Lens Exchange
Jan. 2012     Both eyes due to Surgeon`s error (Multifocal Lens !!) IOL exchange
During that surgery the surgeon damaged severely my Iris of my RE
April 2012      Right eye: two partial aniridia rings / Morcher type 96G were implanted
          (90 degrees each) to repair the iris defect. (See attached picture)
Nov. 2012     Severe Floaters Left Eye / Moderate Floaters Right Eye
Sep. 2015      Right Eye: 3 not successful Nd Yag posterior capsulotomies due to
capsule opacification.
Access behind the 2 aniridia diaphragms is limited to 4mm pupil diameter,
Situation now / outcome of the mentioned above:
     Over > 90 degrees opaque capsule tissue remained as the YAG Laser beam didn't reach further, so my secondary cataract is only partially solved,
     1.) producing at each eye movement severe light streaks (dynamical and statically)
     2.) in addition many additional bothering floaters came up since last YAG treatment on Right Eye

My surgeon's opinion and position:

     vitrectomy is only solution to solve that severe bothering on my RE, but the risk is extremely high due to possible post or intra-operative Lens luxation, due to:
- too many hardware is in the capsule: IOL + 2 Morcher aniridia rings
- YAG Opening reduced stability of the capsular bag
- when being lucky and everything stays in place, some months / years post OP,
IOL will luxate or even drop (high risk, as he said)
- in addition vitrectomy weakens zonular fibers and capsule stability itself,
increasing above mentioned risk potentially

Please, could you give me your appreciated opinion to my case?
     Is really a FOV not recommendable due to the (special) case of my right RE?
     Does a PPV or FOV really compromise the zonulas?
     If really the zonulas are affected by Vitrectomy - How / why? Is it progressive?
     What is your opinion in regard to intraoperative problems / lens luxation?
     Could an anterior vitrectomy perhaps help to quit at least my remaining capsule opacity behind the aniridia diaphragms? Please could you give me your position to the opinion of a surgeon at a north german clinic, who almost refused to treat my floaters by carrying out a FOV?

My case:

Dec. 2011     Both eyes: Refractive Clear Lens Exchange
Jan. 2012     Both eyes due to Surgeon`s error (Multifocal Lens !!) IOL exchange
During that surgery the surgeon damaged severely my Iris of my RE
April 2012      Right eye: two partial aniridia rings / Morcher type 96G were implanted
          (90 degrees each) to repair the iris defect. (See attached picture)
Nov. 2012     Severe Floaters Left Eye / Moderate Floaters Right Eye
Sep. 2015      Right Eye: 3 not successful Nd Yag posterior capsulotomies due to
capsule opacification.
Access behind the 2 aniridia diaphragms is limited to 4mm pupil diameter,
Situation now / outcome of the mentioned above:
     Over > 90 degrees opaque capsule tissue remained as the YAG Laser beam didn't reach further, so my secondary cataract is only partially solved,
     1.) producing at each eye movement severe light streaks (dynamical and statically)
     2.) in addition many additional bothering floaters came up since last YAG treatment on Right Eye

My surgeon's opinion and position:

     vitrectomy is only solution to solve that severe bothering on my RE, but the risk is extremely high due to possible post or intra-operative Lens luxation, due to:
- too many hardware is in the capsule: IOL + 2 Morcher aniridia rings
- YAG Opening reduced stability of the capsular bag
- when being lucky and everything stays in place, some months / years post OP,
IOL will luxate or even drop (high risk, as he said)
- in addition vitrectomy weakens zonular fibers and capsule stability itself,
increasing above mentioned risk potentially

Please, could you give me your appreciated opinion to my case?
     Is really a FOV not recommendable due to the (special) case of my right RE?
     Does a PPV or FOV really compromise the zonulas?
     If really the zonulas are affected by Vitrectomy - How / why? Is it progressive?
     What is your opinion in regard to intraoperative problems / lens luxation?
     Could an anterior vitrectomy perhaps help to quit at least my remaining capsule opacity behind the aniridia diaphragms? Please could you give me your position to the opinion of a surgeon at a north german clinic, who almost refused to treat my floaters by carrying out a FOV?

My case:

Dec. 2011     Both eyes: Refractive Clear Lens Exchange
Jan. 2012     Both eyes due to Surgeon`s error (Multifocal Lens !!) IOL exchange
During that surgery the surgeon damaged severely my Iris of my RE
April 2012      Right eye: two partial aniridia rings / Morcher type 96G were implanted
          (90 degrees each) to repair the iris defect. (See attached picture)
Nov. 2012     Severe Floaters Left Eye / Moderate Floaters Right Eye
Sep. 2015      Right Eye: 3 not successful Nd Yag posterior capsulotomies due to
capsule opacification.
Access behind the 2 aniridia diaphragms is limited to 4mm pupil diameter,
Situation now / outcome of the mentioned above:
     Over > 90 degrees opaque capsule tissue remained as the YAG Laser beam didn't reach further, so my secondary cataract is only partially solved,
     1.) producing at each eye movement severe light streaks (dynamical and statically)
     2.) in addition many additional bothering floaters came up since last YAG treatment on Right Eye

My surgeon's opinion and position:

     vitrectomy is only solution to solve that severe bothering on my RE, but the risk is extremely high due to possible post or intra-operative Lens luxation, due to:
- too many hardware is in the capsule: IOL + 2 Morcher aniridia rings
- YAG Opening reduced stability of the capsular bag
- when being lucky and everything stays in place, some months / years post OP,
IOL will luxate or even drop (high risk, as he said)
- in addition vitrectomy weakens zonular fibers and capsule stability itself,
increasing above mentioned risk potentially

Please, could you give me your appreciated opinion to my case?
     Is really a FOV not recommendable due to the (special) case of my right RE?
     Does a PPV Please could you give me your position to the opinion of a surgeon at a north german clinic, who almost refused to treat my floaters by carrying out a FOV?

My case:

Dec. 2011     Both eyes: Refractive Clear Lens Exchange
Jan. 2012     Both eyes due to Surgeon`s error (Multifocal Lens !!) IOL exchange
During that surgery the surgeon damaged severely my Iris of my RE
April 2012      Right eye: two partial aniridia rings / Morcher type 96G were implanted
          (90 degrees each) to repair the iris defect. (See attached picture)
Nov. 2012     Severe Floaters Left Eye / Moderate Floaters Right Eye
Sep. 2015      Right Eye: 3 not successful Nd Yag posterior capsulotomies due to
capsule opacification.
Access behind the 2 aniridia diaphragms is limited to 4mm pupil diameter,
Situation now / outcome of the mentioned above:
     Over > 90 degrees opaque capsule tissue remained as the YAG Laser beam didn't reach further, so my secondary cataract is only partially solved,
     1.) producing at each eye movement severe light streaks (dynamical and statically)
     2.) in addition many additional bothering floaters came up since last YAG treatment on Right Eye

My surgeon's opinion and position:

     vitrectomy is only solution to solve that severe bothering on my RE, but the risk is extremely high due to possible post or intra-operative Lens luxation, due to:
- too many hardware is in the capsule: IOL + 2 Morcher aniridia rings
- YAG Opening reduced stability of the capsular bag
- when being lucky and everything stays in place, some months / years post OP,
IOL will luxate or even drop (high risk, as he said)
- in addition vitrectomy weakens zonular fibers and capsule stability itself,
increasing above mentioned risk potentially

Please, could you give me your appreciated opinion to my case?
     Is really a FOV not recommendable due to the (special) case of my right RE?
     Does a PPV or FOV really compromise the zonulas?
     If really the zonulas are affected by Vitrectomy - How / why? Is it progressive?
     What is your opinion in regard to intraoperative problems / lens luxation?
     Could an anterior vitrectomy perhaps help to quit at least my remaining capsule opacity behind the aniridia diaphragms? or FOV really compromise the zonulas?
     If really the zonulas are affected by Vitrectomy - How / why? Is it progressive?
     What is your opinion in regard to intraoperative problems / lens luxation?
     Could an anterior vitrectomy perhaps help to quit at least my remaining capsule opacity behind the aniridia diaphragms? e, could you give me your appreciated opinion to my case?
     Is really a FOV not recommendable due to the (special) case of my right RE?
     Does a PPV or FOV really compromise the zonulas?
     If really the zonulas are affected by Vitrectomy - How / why? Is it progressive?
     What is your opinion in regard to intraoperative problems / lens luxation?
     Could an anterior vitrectomy perhaps help to quit at least my remaining capsule opacity behind the aniridia diaphragms?