Vitrector induced lens injury during peripheral iridectomy in implantable collamer lens surgery

A 38-year-old female underwent bilateral implantable collamer lens (ICL) implantation for hyperopic astigmatism. While performing intraoperative peripheral iridectomy (PI), iris and anterior lens capsule was drawn to anterior vitrectomy cutter which result in large PI and injury to anterior lens cap...

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Bibliographic Details
Main Authors: Rawan S. Alshabeeb, Saad S. Alharbi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-10-01
Series:Saudi Journal of Ophthalmology
Online Access:http://www.sciencedirect.com/science/article/pii/S131945341830287X
Description
Summary:A 38-year-old female underwent bilateral implantable collamer lens (ICL) implantation for hyperopic astigmatism. While performing intraoperative peripheral iridectomy (PI), iris and anterior lens capsule was drawn to anterior vitrectomy cutter which result in large PI and injury to anterior lens capsule. Anterior lens capsule injury closed by fibrosis and the patient has 20/20 vision and static traumatic lens changes without any undesirable sequelae at the last follow up. Performing PI preoperatively by laser or alternatively by scissor intraoperatively is advisable to avoid above mentioned complication and a close observation is recommended when lens injury encountered. Keywords: Implantable collamer lens, Cataract, Peripheral iridectomy
ISSN:1319-4534