Accommodative Intraocular Lens Tilting - 18/08/11
, Cosme Lavin-Dapena, MD, Jesus Marín, OD, Carlos Vergés, MD, PhD
Inquiries to Jorge Cazal, MD, Department of Ophthalmology, Institut Universitari Dexeus Escoles Pies, 103, Barcelona 08017, Spain; fax: (+34) 932545424Résumé |
Purpose |
To report an unusual complication of accommodative intraocular lens (IOL) implantation after clear lens extraction for hyperopia correction.
Design |
Observational case report.
Method |
A 48-year-old woman underwent clear lens exchange for the correction of moderate hyperopia. A Crystalens Model AT-45 Accommodating Posterior Chamber IOL (AT-45 IOL) was implanted to allow optimal distance and near vision. At the 3-week follow-up appointment, she complained of monocular diplopia. Ocular examination showed an increased astigmatism, causing decreased visual acuity. Scheimpflug Pentacam Image and Wave Front Analysis supported the diagnosis of IOL tilting.
Results |
IOL repositioning was unsuccessful because of fibrosis of the haptics. It was necessary to replace AT 45 IOL with a monofocal acrylic sulcus-fixated IOL.
Conclusion |
Control of capsular fibrosis should be a major concern, especially in this type of IOL. Accommodating IOL exchange appears to be a safe alternative to manage this complication.
Le texte complet de cet article est disponible en PDF.
Vol 140 - N° 2
P. 341-344 - août 2005 Retour au numéro
Article précédent
- Complications Following Ex-Press Glaucoma Shunt Implantation
- Richard M. Stewart, James G. Diamond, Emily D. Ashmore, Ramesh S. Ayyala
- Chart Documentation by General Physicians of the Glaucoma Medications Taken by Their Patients
- Henry D. Jampel, Parag Parekh, Elizabeth Johnson, Rhonda Miller
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?