Long-term follow-up of obsolete design: iris-clip glass intraocular lens.
An enucleated eye obtained post-mortem from a 95-year-old donor who had a 4-loop, iris-fixated (iris-clip) glass intraocular lens (IOL) that had been implanted 22 years earlier was analyzed. The patient had a history of mild corneal edema, glaucoma, and macular degeneration/macular pucker. High-frequency ultrasound showed a well-centered iris-fixated IOL. Gross and light microscopic analyses of the eye and the IOL showed fragments of iris tissue attached to the haptics, pigment dispersion within the eye, with pigmented epithelial cells attached to the lens haptics and interruptions of the iris pigmented epithelial layers, and signs of corneal decompensation.
Yeh
Oliver
O
From the John A. Moran Eye Center, University of Utah, Salt Lake City, Utah 84132, USA.
Werner
Liliana
L
Letocha
Charles E
CE
Mamalis
Nick
N
D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000000981:diagnostic imaging / Q000473:pathology; D015715:Corneal Edema / Q000175:diagnosis; D017889:Exfoliation Syndrome / Q000175:diagnosis; D015353:Eye Enucleation; D005260:Female; D005500:Follow-Up Studies; D005898:Glass; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D011474:Prosthesis Design; D014019:Tissue Donors; D014463:Ultrasonography