1. Innovative intraocular lens design to manage surgical aphakia in an eye with a filtering bleb
- Author
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P.A.P. Aysha, Pratheeba Devi Nivean, M Arthi, Nivean Madhivanan, and V G Madanagopalan
- Subjects
Male ,medicine.medical_specialty ,genetic structures ,medicine.medical_treatment ,Intraocular lens ,Aphakia, Postcataract ,Aphakia ,03 medical and health sciences ,Filtering bleb ,Blister ,0302 clinical medicine ,Lens Implantation, Intraocular ,Retinal Examination ,Intraocular lens design ,Cornea ,Ophthalmology ,medicine ,Humans ,Trabeculectomy ,Aged ,Retrospective Studies ,Lenses, Intraocular ,business.industry ,Deep anterior chamber ,equipment and supplies ,medicine.disease ,eye diseases ,Sensory Systems ,medicine.anatomical_structure ,030221 ophthalmology & optometry ,Surgery ,sense organs ,business ,Sclera ,030217 neurology & neurosurgery - Abstract
An innovative intraocular lens (IOL), the CM-T Flex IOL, was used to correct surgical aphakia without disturbing a functioning filtering bleb. A 66-year-old man presented with aphakia in the left eye. Cataract extraction and trabeculectomy was performed in the left eye 2 years previously elsewhere. Corrected distance visual acuity (CDVA) in the left eye was 6/18, and, on examination, it showed a filtering bleb that encroached on the limbus and superior cornea. The cornea was clear with a deep anterior chamber. Retinal examination was normal. Disc cupping was noted with a cup-to-disc ratio of 0.8. Refractive correction was performed by implanting the CM-T Flex IOL. This IOL has a unique design that eliminates the need for maneuvering the IOL haptics extraocularly. It entails a simple grasp, exteriorize, and release technique that anchors the IOL firmly to the scleral bed. At 6 months, CDVA in the left eye was 6/9 with a stable, centered IOL.
- Published
- 2020