白袍底下 Potech Eye Center

這是一個八十歲男性，雙眼曾接受青光眼手術( Trabeculectomy OU )，一眼於半年前於台北市某大教學醫院接受白內障手術，如圖所示；術後至今視力已無光感，理學檢查如下並請參閱圖示：

ECCE with long clear cornea incision and stitch exposure in the fellow eye, single eye with total cupping in the fellow eye, decentrated IOL with severe capsular fibrosis, IOL haptic half in half out is highly suspected
Fixed small pupil with 360 degree synechia, a large filtering bleb over 12 o’clock position, shallow chamber, not detectable fundus condition,
現在病人躺臥在手術室的顯微鏡下準備接受另外一眼白內障手術，如圖所示：

How to approach this case? 請各位大哥大姐們說說您的看法。