Visualization of the macula during elective pars plana vitrectomy in the presence of a dual-optic accommodating intraocular lens.
We describe the case of a 69-year-old patient who had pars plana vitrectomy (PPV) for epiretinal membrane removal 18 months after cataract surgery with implantation of a dual-optic accommodating IOL (Synchrony). During PPV, visualization of the macula was perfect, and the postoperative visual outcome was excellent. To our knowledge, this is the first report of retinal visualization during PPV in the presence of a dual-optic accommodating IOL. When choosing a presbyopia-correcting IOL, surgeons should consider the advantage of macula visualization with an IOL with monofocal optics.


BACKGROUND
Dr. Marques is a consultant to Abbott Medical Optics, Inc. No other author has a financial or proprietary interest in any material or method mentioned.
From the Cruz Vermelha Hospital (Marques, Ferreira), Egas Moniz Hospital (Ferreira), and the Visual Sciences Research Center (Castanheira-Dinis), University of Lisbon, Lisbon, Portugal. Electronic address: em.lx@netcabo.pt.
Eduardo F
EF
Marques
From the Cruz Vermelha Hospital (Marques, Ferreira), Egas Moniz Hospital (Ferreira), and the Visual Sciences Research Center (Castanheira-Dinis), University of Lisbon, Lisbon, Portugal.
Tiago B
TB
Ferreira
From the Cruz Vermelha Hospital (Marques, Ferreira), Egas Moniz Hospital (Ferreira), and the Visual Sciences Research Center (Castanheira-Dinis), University of Lisbon, Lisbon, Portugal.
António
A
Castanheira-Dinis
D000065:Accommodation, Ocular / Q000502:physiology; D000368:Aged; D019773:Epiretinal Membrane / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008266:Macula Lutea / Q000033:anatomy & histology*; D018918:Phacoemulsification; D064727:Posterior Capsulotomy; D011474:Prosthesis Design; D041623:Tomography, Optical Coherence; D014792:Visual Acuity; D014821:Vitrectomy