Early decentration of plate-haptic silicone intraocular lenses
Identifieur interne : 001415 ( Istex/Curation ); précédent : 001414; suivant : 001416Early decentration of plate-haptic silicone intraocular lenses
Auteurs : Srinivasan Subramaniam [Royaume-Uni] ; Stephen J. Tuft [Royaume-Uni]Source :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 2000.
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.
Url:
DOI: 10.1016/S0886-3350(00)00557-5
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Stephen J. Tuft<affiliation><mods:affiliation>E-mail: Stuft1@cs.com</mods:affiliation>
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<affiliation wicri:level="1"><mods:affiliation>Moorfields Eye Hospital, London, United Kingdom</mods:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Moorfields Eye Hospital, London</wicri:regionArea>
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<front><div type="abstract" xml:lang="en">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.</div>
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