title: Unsutured phakic implantation of a black intraocular lens in the sulcus to treat leukocoria.
abstract: We describe a 40-year-old woman with von Hippel-Lindau syndrome, secondary chronic exudative retinal detachment, and white cataract with consequent leukocoria. Because the cataract was contracted and calcified, a black Morcher 85F poly(methyl methacrylate) IOL was implanted in the ciliary sulcus anterior to the lens to prevent posterior capsule rupture and potential destabilization of the retinal detachment with a risk for phthisis. Excellent centration of the black IOL was achieved with good cosmetic outcome and without postoperative uveitis or glaucoma. We suggest that this is a rare indication for implantation of an IOL designed for the sulcus but in the presence of the crystalline lens. This approach makes IOL removal, if necessary at a later date, relatively straightforward.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From Moorfields Eye Hospital NHS Foundation Trust (Aslam, MacLaren), the United Kingdom Ministry of Defence Army Medical Services (Aslam, MacLaren), London, and the Nuffield Department of Clinical Neurosciences (Yusuf, MacLaren), Nuffield Laboratory of Ophthalmology, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
authors.forename: Sher A
authors.initials: SA
authors.lastname: Aslam
authors.affiliation: From Moorfields Eye Hospital NHS Foundation Trust (Aslam, MacLaren), the United Kingdom Ministry of Defence Army Medical Services (Aslam, MacLaren), London, and the Nuffield Department of Clinical Neurosciences (Yusuf, MacLaren), Nuffield Laboratory of Ophthalmology, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.
authors.forename: Imran H
authors.initials: IH
authors.lastname: Yusuf
authors.affiliation: From Moorfields Eye Hospital NHS Foundation Trust (Aslam, MacLaren), the United Kingdom Ministry of Defence Army Medical Services (Aslam, MacLaren), London, and the Nuffield Department of Clinical Neurosciences (Yusuf, MacLaren), Nuffield Laboratory of Ophthalmology, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom. Electronic address: enquiries@eye.ox.ac.uk.
authors.forename: Robert E
authors.initials: RE
authors.lastname: MacLaren
mesh_terms: D000328:Adult; D001766:Blindness / Q000209:etiology / Q000601:surgery; D002386:Cataract / Q000150:complications; D003357:Cosmetic Techniques; D005128:Eye Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D019904:Polymethyl Methacrylate; D017797:Prosthesis Coloring; D011474:Prosthesis Design; D012163:Retinal Detachment / Q000150:complications; D013536:Suture Techniques; D006623:von Hippel-Lindau Disease / Q000150:complications
chemical_list: D019904:Polymethyl Methacrylate