Upside-down lens syndrome: Ocular complications secondary to inverted implantation of the Kelman Multiflex™ anterior chamber intraocular lens
| Autor: | David G. Hwang, Shane K. Kim, Robert E. Fintelmann |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty genetic structures Anterior Chamber medicine.medical_treatment Iritis Intraocular lens Pupil Article Cataract Macular Edema law.invention Postoperative Complications Lens Implantation Intraocular law Ophthalmology medicine Humans Polymethyl Methacrylate Single institution Macular edema Aged Retrospective Studies Lenses Intraocular Iris adhesions Corneal Decompensation Medical Errors business.industry medicine.disease eye diseases Surgery Lens (optics) Intraocular lenses Female sense organs business |
| Popis: | Purpose To describe ocular complications resulting from inverted insertion of a Kelman Multiflex anterior chamber intraocular lens (ACIOL). Design Retrospective observational case series. Methods We describe the outcomes of 4 cases of complicated cataract surgery in which a flexible open-loop polymethylmethacrylate (PMMA) ACIOL (Kelman Multiflex type) was placed in an inverted configuration, all of which were referred to a single institution. Results In all 4 cases, the placement of an inverted ACIOL resulted in ocular complications including chronic iritis, cystoid macular edema, pupil capture, iris adhesions, and corneal decompensation. Conclusions Inadvertent inverted placement of the Kelman Multiflex anterior chamber intraocular lenses can lead to a constellation of severe ocular complications. When inserting such lenses, the surgeon should ensure that the lens is correctly oriented such that the optic vaults anteriorly and not posteriorly. |
| Databáze: | OpenAIRE |
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