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Postgraduate Medical Journal 2007;83:7; doi:10.1136/pgmj.2007.062455
Copyright © 2007 The Fellowship of Postgraduate Medicine
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ELECTRONIC PAGES

Eye surgery

Unusual sequel to a known complication

K Merchant , R Stirling

Department of Ophthalmology, Darlington Memorial Hospital, Darlington, County Durham, UK

Correspondence to:
Mr K Merchant, Department of Ophthalmology, Darlington Memorial Hospital, Hollyhurst Road, Darlington, County Durham DL3 6HX, UK; kinnar@doctors.org.uk

Submitted 21 June 2007
Accepted 23 August 2007

Keywords: capsular phimosis; intraocular lens; capsular contracture; haptic; phacoemulsification

The first 150 words of the full text of this article appear below.

A 76-year-old man underwent cataract surgery with implantation of an acrylic foldable intraocular lens by standard phacoemulsification technique. The preoperative and immediate postoperative period was uneventful. His postoperative visual acuity was 6/6.

However, 3 months later he gradually developed visual problems while doing close work or reading, although his distant visual acuity still remained 6/6.

He visited the eye casualty with the above complaints and the following slit-lamp picture was noted.

What condition is seen in the picture (fig 1) and what may have caused it?


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  		Figure 1 Folded lower haptic of intraocular lens implant (IOL) in the contracted capsule. Photograph taken with direct focal illumination of slit-lamp.

 

*    BRIEF ANSWER
 
Modern phacoemulsification cataract surgery involves injecting a pliable intraocular lens implant (IOL) with a total diameter 12.5 mm through a sub 3 mm incision. The IOL unfolds into the original lens capsule.

Although initially delighted with the result of his . . . [Full text of this article]






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