What Africa Taught Me About Vitreoretinal Surgery: Part One

1. Dropped crystalline lenses are common challenges in Rwanda.
2. Fragmatome use risks scleral melt and hypotony.
3. PFCL assists in lens management but has limitations.
4. The scleral tunnel technique promotes safety and efficiency.
5. Secondary IOLs, like iris-claw lenses, are standard post-removal.
6. The technique is cost-effective and suitable for low-resource environments.