Opaque intraocular lens implantation: a case series and lessons learnt

Abstract

Richard MH Lee1, Vincent DJP Dubois1, Ioannis Mavrikakis1, Salim Okera1, Gerard Ainsworth1, Sarah Vickers1, Christopher SC Liu1,21Department of Ophthalmology, Sussex Eye Hospital, Brighton, UK; 2Tongdean Eye Clinic, Hove, UKPurpose: To report the use of opaque intraocular devices in three patients with complex neuro-ophthalmic symptoms.Methods: A case series of three patients with neuro-ophthalmic symptoms requiring occlusion of one eye when alternative methods had failed to control symptoms. Morcher (Stuttgart, Germany) opaque intraocular implants were used in all patients.Results: All three patients observed an improvement in symptoms following opaque intraocular device implantation. One patient (Case 2) required multiple devices for symptom relief.Conclusion: Opaque intraocular occlusive devices are an increasingly popular choice for clinicians in patients with intractable diplopia but we highlight their use in patients with other complex neuro-ophthalmic symptoms. We learned a number of useful lessons in these patients as summarized in this case series.Keywords: intraocular lens, opaque IOL, occlusive IOL, occlusive intraocular lens, diplopia implant