Wael Ewais

The Aspheric Macular Contact Lens provides superb visualization of the macula. However, the field of view is 30 degrees. Sometimes, I need to tilt the lens slightly to one side of the cornea to see a wider area of the macula. In certain situations the contact lens alone is not sufficient for complete macular maneuver. These include: wide extensive epimacular membranes, and small pupil. My Strategy is so simple: I try to use the contact lens as possible as I can, then shift to BIOM system for visualization, whenever I feel it is impossible to complete my task under contact lens. The target is to have a complete membrane peel, whatever the visualization tool I use. There is one case for demonstration.