Accommodative intraocular lens tilting.

Jorge Cazal; Cosme Lavin-Dapena; Jesus Marín; Carlos Vergés

doi:10.1016/j.ajo.2005.02.040

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PubMed · 16086970

Accommodative intraocular lens tilting.

Jorge Cazal·Cosme Lavin-Dapena·Jesus Marín·Carlos Vergés

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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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Accommodation, Ocular Astigmatism Corneal Topography Device Removal Diplopia Female Follow-Up Studies Foreign-Body Migration Humans Hyperopia Lens Implantation, Intraocular Lens, Crystalline Lenses, Intraocular Middle Aged Prosthesis Failure Reoperation Visual Acuity Case Reports Journal Article

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Jorge Cazal, Cosme Lavin-Dapena, Jesus Marín, Carlos Vergés. 2005. Accommodative intraocular lens tilting.. https://doi.org/10.1016/j.ajo.2005.02.040

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