• Solid epithelial tumors are IPE adenoma, medulloepithelioma , and IPE adenocarcinoma.

Under peribulbar anesthesia and sterile precaution, transscleral trocar cannula infusion was placed via pars plana about 3mm from the limbus. Two conjunctival peritomies 180 degrees apart were performed at 11 and 5 clock hours (Figure16-6A and Video 16-2). Subsequently, partial scleral flaps were made in lamellar fashion at 11 and 5 o’clock diagonally. Sclerotomy was made below the scleral flaps using a 22- gauge needle. A superior corneal incision was made via a 1.3-mm keratome. A rod was passed through the superior incision to retract the iris and visualize the under lying epithelial cyst and si mul ta neously a 23- gauge vitrector was passed through the sclerotomy opposite the cyst. The vitreous near the port, pupillary plane, and sur­rounding the cyst was cut initially. Then, under direct visualization, the cyst was excised by the vitrector (Figure16-6B). Once the entire epithelium was removed anteriorly, a vitrectomy was performed in the pupillary plane and anterior chamber. A 3- piece foldable IOL was then implanted using the glued IOL method after extending the main incision via an injector. The leading haptic was introduced into the anterior chamber while a second instrument or glued IOL forceps was introduced through the sclerotomy site and the leading haptic grabbed and externalized beneath the scleral flaps using the handshake technique (Figure 16-6C). The trailing haptic was also externalized in a similar way under the scleral flaps. When both haptics were externalized, the haptics were tucked in the Scharioth tunnel at the point of externaliza­tion using 26-g auge needles.