Curious Case of a Foldable Intraocular Lens that did not Unfold
Phacoemulsification is a modern technique of cataract surgery that allows the removal of cataractous lens and implantation of a foldable Intraocular Lens (IOL) through a small sub 3 mm incision. For a good visual outcome, it is imperative that the IOL is well centered and its haptics unfold proper...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2020-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/13939/44733_CE[Ra1]_F(SHU)_PF1(AB_KM)_PN(SL).pdf |
| _version_ | 1818941508326260736 |
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| author | Nimisha Nagpal Pawan Prasher |
| author_facet | Nimisha Nagpal Pawan Prasher |
| author_sort | Nimisha Nagpal |
| collection | DOAJ |
| description | Phacoemulsification is a modern technique of cataract surgery that allows the removal of cataractous lens and implantation of a
foldable Intraocular Lens (IOL) through a small sub 3 mm incision. For a good visual outcome, it is imperative that the IOL is well
centered and its haptics unfold properly inside the capsular bag and keep it distended. However, at times the IOL haptics may not
unfold properly leading to adverse visual symptoms. Herein, Authors present an unusual case of a 61-year-old elderly male with
no other associated ocular or systemic illness, who presented nine months after cataract surgery in his left eye, with both haptics
of the IOL unusually folded and the edge of one haptic encroaching into the pupillary area leading to visual symptoms. As multiple
attempts to dial the haptics into the capsular bag were unsuccessful, likely due to strong capsular adhesions, the unfolded haptics
were placed in the sulcus with attempted optic capture. The postoperative period was uneventful with BCVA of 20/20 at one year.
The current case highlights the need to be vigilant about the proper positioning of the haptics at the end of routine cataract surgery
and the need for early intervention in the event of any complication. |
| first_indexed | 2024-12-20T06:56:39Z |
| format | Article |
| id | doaj.art-291a83d23bca4b67b0a1f8a294b4b987 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-20T06:56:39Z |
| publishDate | 2020-08-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-291a83d23bca4b67b0a1f8a294b4b9872022-12-21T19:49:20ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-08-01148010310.7860/JCDR/2020/44733.13939Curious Case of a Foldable Intraocular Lens that did not UnfoldNimisha Nagpal0 Pawan Prasher1Senior Resident, Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, India.Professor, Department of Ophthalmology, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar, Punjab, IndiaPhacoemulsification is a modern technique of cataract surgery that allows the removal of cataractous lens and implantation of a foldable Intraocular Lens (IOL) through a small sub 3 mm incision. For a good visual outcome, it is imperative that the IOL is well centered and its haptics unfold properly inside the capsular bag and keep it distended. However, at times the IOL haptics may not unfold properly leading to adverse visual symptoms. Herein, Authors present an unusual case of a 61-year-old elderly male with no other associated ocular or systemic illness, who presented nine months after cataract surgery in his left eye, with both haptics of the IOL unusually folded and the edge of one haptic encroaching into the pupillary area leading to visual symptoms. As multiple attempts to dial the haptics into the capsular bag were unsuccessful, likely due to strong capsular adhesions, the unfolded haptics were placed in the sulcus with attempted optic capture. The postoperative period was uneventful with BCVA of 20/20 at one year. The current case highlights the need to be vigilant about the proper positioning of the haptics at the end of routine cataract surgery and the need for early intervention in the event of any complication.https://jcdr.net/articles/PDF/13939/44733_CE[Ra1]_F(SHU)_PF1(AB_KM)_PN(SL).pdfhapticphacoemulsificationredialing |
| spellingShingle | Nimisha Nagpal Pawan Prasher Curious Case of a Foldable Intraocular Lens that did not Unfold Journal of Clinical and Diagnostic Research haptic phacoemulsification redialing |
| title | Curious Case of a Foldable Intraocular Lens that did not Unfold |
| title_full | Curious Case of a Foldable Intraocular Lens that did not Unfold |
| title_fullStr | Curious Case of a Foldable Intraocular Lens that did not Unfold |
| title_full_unstemmed | Curious Case of a Foldable Intraocular Lens that did not Unfold |
| title_short | Curious Case of a Foldable Intraocular Lens that did not Unfold |
| title_sort | curious case of a foldable intraocular lens that did not unfold |
| topic | haptic phacoemulsification redialing |
| url | https://jcdr.net/articles/PDF/13939/44733_CE[Ra1]_F(SHU)_PF1(AB_KM)_PN(SL).pdf |
| work_keys_str_mv | AT nimishanagpal curiouscaseofafoldableintraocularlensthatdidnotunfold AT pawanprasher curiouscaseofafoldableintraocularlensthatdidnotunfold |