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Early decentration of plate-haptic silicone intraocular lenses

Identifieur interne : 001415 ( Istex/Corpus ); précédent : 001414; suivant : 001416

Early decentration of plate-haptic silicone intraocular lenses

Auteurs : Srinivasan Subramaniam ; Stephen J. Tuft

Source :

RBID : ISTEX:10BBC11DC238FE19E614A12B81BC65C9489A790F

Abstract

We report 4 eyes of a consecutive series of 1299 that developed early decentration of a 10.5 mm diameter plate-haptic silicone intraocular lens (IOL) after uneventful phacoemulsification. All eyes had an intact continuous curvilinear capsulorhexis (CCC) with the IOL placed in the capsular bag. After an initial period of good vision, patients noted the onset of glare or monocular diplopia between 1 and 5 weeks after surgery. On examination, there was no significant anterior capsule contraction; however, the edge of the IOL optic was visible in the undilated pupil. There was adhesion between the anterior and posterior capsules at the margin of the CCC that maintained the IOL decentration. Decentration recurred in 1 eye after the IOL was rotated 90 degrees and recentered. Symptoms resolved in 3 eyes after the IOL was removed and replaced with a rigid IOL with a larger diameter optic.

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DOI: 10.1016/S0886-3350(00)00557-5

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ISTEX:10BBC11DC238FE19E614A12B81BC65C9489A790F

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