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Updated: Jul 19, 2026
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Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Probable edge defect in Acrysof single-piece intraocular lens
1Cornea and Anterior Segment Consultant, The Eye Super Specialties, Mumbai, India. eyetess@vsnl.net
Indian Journal of Ophthalmology
|November 9, 2006
Summary
A rare edge defect in a single-piece hydrophobic acrylic intraocular lens (IOL) caused glare due to posterior capsular folds. Pre-operative microscopic inspection of IOLs is crucial to prevent such visual disturbances.
Area of Science:
- Ophthalmology
- Materials Science
Background:
- Single-piece hydrophobic acrylic intraocular lenses (IOLs) are commonly used in cataract surgery.
- Routine phacoemulsification procedures involve implanting these IOLs after removing the natural lens.
Observation:
- An intraoperative observation of an edge defect (a chip) on a single-piece hydrophobic acrylic IOL during phacoemulsification.
- The defect was successfully managed with McPherson's forceps during the surgery.
Findings:
- Postoperatively, the patient experienced significant glare attributed to posterior capsular folds originating from the IOL defect site.
- The patient declined Nd:Yag laser capsulotomy for symptom relief.
Implications:
- Highlights the critical need for meticulous pre-operative inspection of all foldable intraocular lenses under magnification.
- Emphasizes the potential for subtle IOL defects to cause long-term visual complications, such as glare and astigmatism.
- Underscores the importance of quality control in intraocular lens manufacturing and handling to ensure patient visual outcomes.
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