Ectopic intraocular lens: An unusual complication of cataract surgery
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 exte...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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Series: | Indian Journal of Ophthalmology |
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Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=6;spage=733;epage=734;aulast=Shah |
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author | Mehul A Shah Shreya A Shah Parul M Aggarwal |
author_facet | Mehul A Shah Shreya A Shah Parul M Aggarwal |
author_sort | Mehul A Shah |
collection | DOAJ |
description | 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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id | doaj.art-f50f0724b22a4225b3cc34d0b51fd1b0 |
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issn | 0301-4738 1998-3689 |
language | English |
last_indexed | 2024-12-22T18:53:16Z |
publishDate | 2014-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Indian Journal of Ophthalmology |
spelling | doaj.art-f50f0724b22a4225b3cc34d0b51fd1b02022-12-21T18:16:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892014-01-0162673373410.4103/0301-4738.136257Ectopic intraocular lens: An unusual complication of cataract surgeryMehul A ShahShreya A ShahParul M AggarwalWe 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.http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=6;spage=733;epage=734;aulast=ShahColor Doppler imaginghypertensive retinopathyresistive indexConjunctival graftprimary pterygiumrecurrent pterygiumIntraocular pressuresingleton pregnancythe number of fetusestwin pregnancyAccommodationagreementamplitude of accommodationpush-up methodIntraocular lensnon-sclera flaptransscleral pars plana suture fixationAxial lengthformulaslenspowershort eyesAcquired esotropiafavourable outcomestereopsisDiabetic retinopathyenzyme-linked immunosorbent assayimmunologyinterleukin-1βinterleukin-10proliferativePolypoidal choroidal vasculopathypreferential hyperacuity perimetryspectral-domain optical coherence tomographyMicroincisional vitreous surgeryretained intraocular foreign bodiestransconjunctival sutureless vitrectomyAS-OCTbleb morphologytrabeculectomyHorizontal muscle surgeryinferior oblique muscle recession surgerymacular thicknessoptical coherence tomographyGanglion cell complexoptical coherence tomographyretinal nerve fiber layertype 2 diabetesColor visioncolor vision testingFM 100-HueIshiharaBilateralmonosymptomatic optic neuritisMycoplasma pneumoniaeretro-bulbar optic neuritisCavernous sinus involvementchasmal involvementoptic atrophyoptic nerve sheath meningiomaDicotyledonespterygium surgerysubconjunctival foreign bodyuveal prolaseChoroiodal melanomaendoresectionvitrectomyAcrylic lenscomplicationectopic lensphacoemulsification |
spellingShingle | Mehul A Shah Shreya A Shah Parul M Aggarwal Ectopic intraocular lens: An unusual complication of cataract surgery Indian Journal of Ophthalmology Color Doppler imaging hypertensive retinopathy resistive index Conjunctival graft primary pterygium recurrent pterygium Intraocular pressure singleton pregnancy the number of fetuses twin pregnancy Accommodation agreement amplitude of accommodation push-up method Intraocular lens non-sclera flap transscleral pars plana suture fixation Axial length formulas lens power short eyes Acquired esotropia favourable outcome stereopsis Diabetic retinopathy enzyme-linked immunosorbent assay immunology interleukin-1β interleukin-10 proliferative Polypoidal choroidal vasculopathy preferential hyperacuity perimetry spectral-domain optical coherence tomography Microincisional vitreous surgery retained intraocular foreign bodies transconjunctival sutureless vitrectomy AS-OCT bleb morphology trabeculectomy Horizontal muscle surgery inferior oblique muscle recession surgery macular thickness optical coherence tomography Ganglion cell complex optical coherence tomography retinal nerve fiber layer type 2 diabetes Color vision color vision testing FM 100-Hue Ishihara Bilateral monosymptomatic optic neuritis Mycoplasma pneumoniae retro-bulbar optic neuritis Cavernous sinus involvement chasmal involvement optic atrophy optic nerve sheath meningioma Dicotyledones pterygium surgery subconjunctival foreign body uveal prolase Choroiodal melanoma endoresection vitrectomy Acrylic lens complication ectopic lens phacoemulsification |
title | Ectopic intraocular lens: An unusual complication of cataract surgery |
title_full | Ectopic intraocular lens: An unusual complication of cataract surgery |
title_fullStr | Ectopic intraocular lens: An unusual complication of cataract surgery |
title_full_unstemmed | Ectopic intraocular lens: An unusual complication of cataract surgery |
title_short | Ectopic intraocular lens: An unusual complication of cataract surgery |
title_sort | ectopic intraocular lens an unusual complication of cataract surgery |
topic | Color Doppler imaging hypertensive retinopathy resistive index Conjunctival graft primary pterygium recurrent pterygium Intraocular pressure singleton pregnancy the number of fetuses twin pregnancy Accommodation agreement amplitude of accommodation push-up method Intraocular lens non-sclera flap transscleral pars plana suture fixation Axial length formulas lens power short eyes Acquired esotropia favourable outcome stereopsis Diabetic retinopathy enzyme-linked immunosorbent assay immunology interleukin-1β interleukin-10 proliferative Polypoidal choroidal vasculopathy preferential hyperacuity perimetry spectral-domain optical coherence tomography Microincisional vitreous surgery retained intraocular foreign bodies transconjunctival sutureless vitrectomy AS-OCT bleb morphology trabeculectomy Horizontal muscle surgery inferior oblique muscle recession surgery macular thickness optical coherence tomography Ganglion cell complex optical coherence tomography retinal nerve fiber layer type 2 diabetes Color vision color vision testing FM 100-Hue Ishihara Bilateral monosymptomatic optic neuritis Mycoplasma pneumoniae retro-bulbar optic neuritis Cavernous sinus involvement chasmal involvement optic atrophy optic nerve sheath meningioma Dicotyledones pterygium surgery subconjunctival foreign body uveal prolase Choroiodal melanoma endoresection vitrectomy Acrylic lens complication ectopic lens phacoemulsification |
url | http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=6;spage=733;epage=734;aulast=Shah |
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