Accommodative intraocular lens tilting.
Am J Ophthalmol
; 140(2): 341-4, 2005 Aug.
Article
en En
| MEDLINE
| ID: mdl-16086970
ABSTRACT
PURPOSE:
To report an unusual complication of accommodative intraocular lens (IOL) implantation after clear lens extraction for hyperopia correction.DESIGN:
Observational case report.METHOD:
A 48-year-old woman underwent clear lens exchange for the correction of moderate hyperopia. A Crystalens Model AT-45 Accommodating Posterior Chamber IOL (AT-45 IOL) was implanted to allow optimal distance and near vision. At the 3-week follow-up appointment, she complained of monocular diplopia. Ocular examination showed an increased astigmatism, causing decreased visual acuity. Scheimpflug Pentacam Image and Wave Front Analysis supported the diagnosis of IOL tilting.RESULTS:
IOL repositioning was unsuccessful because of fibrosis of the haptics. It was necessary to replace AT 45 IOL with a monofocal acrylic sulcus-fixated IOL.CONCLUSION:
Control of capsular fibrosis should be a major concern, especially in this type of IOL. Accommodating IOL exchange appears to be a safe alternative to manage this complication.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Astigmatismo
/
Migración de Cuerpo Extraño
/
Implantación de Lentes Intraoculares
/
Diplopía
/
Acomodación Ocular
/
Lentes Intraoculares
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Am J Ophthalmol
Año:
2005
Tipo del documento:
Article
País de afiliación:
España