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Consistent pattern in positional instability of polyfocal full-optics accommodative IOL

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Author(s)
Yu Cheol KimKyung Tae KangYoungdo YeoKi-San KimFrank S. Siringo
Keimyung Author(s)
Kim, Yu Cheol
Department
Dept. of Ophthalmology (안과학)
Journal Title
International Ophthalmology
Issued Date
2017
Volume
37
Issue
6
Keyword
DislocationInstabilityIntraocular lensSubluxation
Abstract
PURPOSE:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

Years after uncomplicated phacoemulsification, an implanted WIOL-CF® IOL may tilt and dislocate in the absence of trauma, in a consistent and characteristic pattern.
Keimyung Author(s)(Kor)
김유철
Publisher
School of Medicine (의과대학)
Citation
Yu Cheol Kim et al. (2017). Consistent pattern in positional instability of polyfocal full-optics accommodative IOL. International Ophthalmology, 37(6), 1299–1304. doi: 10.1007/s10792-016-0398-x
Type
Article
ISSN
0165-5701
Source
https://link.springer.com/article/10.1007%2Fs10792-016-0398-x
DOI
10.1007/s10792-016-0398-x
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41160
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Ophthalmology (안과학)
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