Abstract To the Editor. —Decentration of a PC IOL as a late complication of extracapsular cataract surgery has been well documented in the literature.1-2 The most frequent cause is the placement of one haptic in the capsular bag and the other in the ciliary sulcus. Subsequent contracture of the capsularg may deform the hapticltimately decenter the optic. We have seen several such cases associated with polypropylene (Prolene) haptics, and during repositioning surgery have discovered permanent crimping of the haptic loop, necessitating IOL exchange. We present herein a case of a decentered all-PMMA one-piece PC IOL that was caused by capsular bag contracture and permanent deformation of one of the haptics. Report of a Case. —A 48-year-old white man with myotonic dystrophy underwent an extracapsular cataract extraction with implantation of a one-piece, high-molecular-weight, all-PMMA, small-compression-molded, PC IOL (Model 6222, PC UV IOL, Precision Cosmet, Minneapolis, Minn) in the left eye in December References 1. Hansen SO, Tetz MR, Solomon KD, et al. Decentration of flexible loop posterior chamber intraocular lenses in a series of 222 postmortem eyes . Ophthalmology . 1988;95:344-349.Crossref 2. Apple DJ, Reidy JJ, Googe JM, et al. A comparison of ciliary sulcus and capsular bag fixation of posterior chamber intraocular lenses . Am Intra-Ocul Implant Soc J . 1985;11:44-63.Crossref 3. Olson RJ, Brodstein RS. Encroaching lens loops . Arch Ophthalmol . 1990;108:784.Crossref
Archives of Ophthalmology – American Medical Association
Published: Mar 1, 1991
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