Probable edge defect in Acrysof single-piece intraocular lens.
The purpose of this article is to report an edge defect in single-piece hydrophobic acrylic intraocular lens (IOL) observed during a routine phacoemulsification procedure. The chip was successfully removed intraoperatively with a McPherson's forceps. However, six months postoperatively patient complained of a disturbing glare due to posterior capsular folds originating from the site of IOL defect. Patient was advised, however refused to undergo Nd:Yag laser capsulotomy to relieve the symptoms. This case highlights the necessity to check each foldable IOL under the microscope before loading it into the cartridge, for possible edge defects.
Shah
Urmi
U
Cornea and Anterior Segment Consultant, The Eye Super Specialties, Mumbai, India. eyetess@vsnl.net
D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D053685:Laser Therapy; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D011475:Prosthesis Failure; D012086:Reoperation