title: Negative dysphotopsia after intraocular lens implantation irrespective of design and material.
abstract: We report 3 cases of negative dysphotopsia in patients who had implantation of 1 intraocular lens (IOL) type in 1 eye and another IOL type in the fellow eye. A male patient (aged 58 years) received an SA60AT AcrySof hydrophobic acrylic IOL (Alcon) in his left eye (OS). He noticed a temporal dark shadow. Three months later, he received a Tecnis Z9001 silicone aspheric optic IOL (Pfizer) in his right eye (OD). He noticed a temporal dark shadow OD almost identical to the shadow OS. Another male patient (aged 58 years) received an AcrySof MA60AC IOL (Alcon) OS and subsequently a PhacoFlex SI-40NB silicone IOL (AMO) OD. He experienced temporal dark shadows in each eye. A female patient (aged 64 years) received an SA60AT IOL OD and subsequently a Sensar hydrophobic acrylic AR40e (AMO) OS, noticing dark shadows in both eyes. Although all 3 patients tolerated the shadows well, they were interested in their etiology and wanted reassurance that the symptoms would not progress.
authors.affiliation: Center for Excellence in Eye Care, Miami, Florida 33176, USA. wtrattler@earthlink.net
authors.forename: William B
authors.initials: WB
authors.lastname: Trattler
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Whitsett
authors.forename: Piero A
authors.initials: PA
authors.lastname: Simone
mesh_terms: D000180:Acrylic Resins; D005260:Female; D019466:Glare; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011474:Prosthesis Design; D012826:Silicone Elastomers; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity
chemical_list: D000180:Acrylic Resins; D012826:Silicone Elastomers