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Vitrector induced lens injury during peripheral iridectomy in implantable collamer lens surgery

Rawan S Alshabeeb1, Saad S Alharbi1

  • 1Anterior Segment Division, King Khaled Eye Specialist Hospital, Saudi Arabia.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|January 11, 2020
PubMed

A 38-year-old female underwent bilateral implantable collamer lens (ICL) implantation for hyperopic astigmatism. While performing intraoperative peripheral iridectomy (PI), iris and anterior lens capsule was drawn to anterior vitrectomy cutter which result in large PI and injury to anterior lens capsule. Anterior lens capsule injury closed by fibrosis and the patient has 20/20 vision and static traumatic lens changes without any undesirable sequelae at the last follow up. Performing PI preoperatively by laser or alternatively by scissor intraoperatively is advisable to avoid above mentioned complication and a close observation is recommended when lens injury encountered.

Keywords:
CataractImplantable collamer lensPeripheral iridectomy

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