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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Main Authors: Mehul A Shah, Shreya A Shah, Parul M Aggarwal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Indian Journal of Ophthalmology
Subjects:
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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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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AT shreyaashah ectopicintraocularlensanunusualcomplicationofcataractsurgery
AT parulmaggarwal ectopicintraocularlensanunusualcomplicationofcataractsurgery