Mark Packer, MD Financial Disclosure

2. 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 Mark Packer, MDFinancial Disclosure 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 • Don’t 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