Indian Journal of Ophthalmology (Jan 2014)

Ectopic intraocular lens: An unusual complication of cataract surgery

  • Mehul A Shah,
  • Shreya A Shah,
  • Parul M Aggarwal

DOI
https://doi.org/10.4103/0301-4738.136257
Journal volume & issue
Vol. 62, no. 6
pp. 733 – 734

Abstract

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We wish to report an unusual complication of intraocular lens (IOL) insertion following uneventful phacoemulsification. After successful phacoemulsification surgery, a hydrophobic acrylic IOL was loaded in the injector for insertion into the capsular bag. During insertion, the IOL inadvertently extended into the corneal stromal lamella. The complication was recognized at a late stage, and the foldable acrylic lens was retrieved and reinserted correctly in the bag. The anterior chamber was made viscoelastically taut and was maintained in this state for 10 min, followed by a routine viscoelastic wash and air bubble injection. Cornea was slightly edematous with stromal haze, and the corneal thickness was 908 μm. At the 1-month follow-up visit, the patient′s vision was 20/40, the stromal haze had subsided, the corneal thickness was 572 μm, and the patient was comfortable. Though it was unknown complication, following proper management patient recovered satisfactorily.

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