In-the-bag decentration of a hydrophilic radially asymmetric multifocal intraocular lens secondary to capsule contraction

Jan Willem Van Der Linden, Ivanka J. Van Der Meulen, Maarten P. Mourits, Ruth Lapid-Gortzak

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

We report a case of in-the-bag decentration and tilt of a hydrophilic rotationally asymmetric multifocal intraocular lens (IOL) of the M Plus type secondary to capsule contraction. After uneventful surgery and follow-up for 3 months, progressive decentering and tilting of the IOL secondary to capsule contraction and capsulorhexis phimosis was noticed. A surgical procedure was necessary to restore correct centration of the IOL. The uncorrected distance and near visual acuities were restored to logMAR 0. Hydrophilic multifocal IOLs of this specific design may be sensitive to postoperative decentration. Capsular tension rings may alleviate the problem in a secondary repair procedure. The softness of the C-loop haptics of this IOL type may also play a role in the decentration. Financial Disclosure: Dr. Lapid-Gortzak has received speaker fees from Alcon Laboratories, Inc., Hanita Lenses, MSD, and Oculentis GmbH and is a clinical investigator for Alcon Laboratories, Inc. No author has a financial or proprietary interest in any material or method mentioned.

Original languageEnglish
Pages (from-to)642-644
Number of pages3
JournalJournal of Cataract and Refractive Surgery
Volume39
Issue number4
DOIs
StatePublished - 1 Apr 2013
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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