1. Consistent pattern in positional instability of polyfocal full-optics accommodative IOL
- Author
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Youngdo Yeo, Kyung Tae Kang, Frank S Siringo, Yu Cheol Kim, and Ki-San Kim
- Subjects
Male ,medicine.medical_specialty ,genetic structures ,Adolescent ,medicine.medical_treatment ,After cataract ,Intraocular lens ,Artificial Lens Implant Migration ,03 medical and health sciences ,0302 clinical medicine ,Optics ,Postoperative Complications ,Continuous curvilinear capsulorrhexis ,medicine ,Humans ,Retrospective Studies ,Subluxation ,Lenses, Intraocular ,Phacoemulsification ,business.industry ,Accommodation, Ocular ,Middle Aged ,equipment and supplies ,medicine.disease ,eye diseases ,Surgery ,Ophthalmology ,Left eye ,030221 ophthalmology & optometry ,Female ,sense organs ,business ,030217 neurology & neurosurgery - Abstract
We describe cases of dislocation or subluxation of the WIOL-CF® polyfocal full-optics intraocular lens (IOL) and suggest a consistent pattern and possible mechanism for the IOL instability. This is a retrospective case series of five consecutive eyes in three patients with WIOL-CF® IOL instability at Keimyung University Dongsan Medical Center and Kimkisan Eye Center from 2012 to 2014. The medical records and ocular exam data for these patients were analyzed. A 50-year-old male had uneventful phacoemulsification in both eyes with WIOL-CF® IOL implantation. At 27 months after surgery, the patient was referred to our clinic with a dislocated IOL in the left eye. The IOL in the right eye was dislocated in the same pattern 38 months after cataract surgery. Another 50-year-old male, who had phacoemulsification and WIOL-CF® IOL implantation in both eyes, was referred to our clinic following diagnosis of a subluxated IOL. Both IOLs were well centered; however, the infranasal aspect of the IOLs tilted posteriorly, and the supratemporal portion the IOLs tilted anteriorly, with overlying iris atrophy in a symmetric pattern. The inferonasal continuous curvilinear capsulorrhexis (CCC) edge was dragged superotemporally, and the supratemporal CCC edge was identified on the posterior surface of the IOL. A 16-year-old female had uneventful phacoemulsification and WIOL-CF® IOL implantation to treat a cataract in the right eye, and 3 years later, the IOL tilted with the same pattern as the previous case. Years after uncomplicated phacoemulsification, an implanted WIOL-CF® IOL may tilt and dislocate in the absence of trauma, in a consistent and characteristic pattern.
- Published
- 2015