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Accommodative intraocular lens tilting
Jorge Cazal1, Cosme Lavin-Dapena, Jesus Marín
1Department of Ophthalmology, Institut Universitari Dexeus, Barcelona, Universidad Autónoma de Barcelona, Barcelona, Spain. jcazal@cverges.com
American Journal of Ophthalmology
|August 10, 2005
Summary
Accommodative intraocular lens (IOL) implantation for hyperopia correction can lead to rare complications like IOL tilting. Management involved exchanging the accommodating IOL for a monofocal one.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Clear lens extraction is a refractive surgical option for moderate hyperopia.
- Accommodating intraocular lenses (IOLs) aim to provide both distance and near vision.
Observation:
- A case of monocular diplopia and induced astigmatism occurred three weeks post-implantation of an accommodating IOL.
- Diagnostic imaging confirmed IOL tilting as the cause of visual disturbance.
Findings:
- Haptic fibrosis prevented successful repositioning of the tilted accommodating IOL.
- The accommodating IOL was ultimately exchanged for a sulcus-fixated monofocal IOL.
Implications:
- Capsular fibrosis is a significant concern with accommodating IOLs, potentially leading to complications.
- Accommodating IOL exchange is a viable surgical option for managing such complications.