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| OPHTHALMIC IMAGE |
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| Year : 2022 | Volume
: 2
| Issue : 2 | Page : 622 |
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Two intraocular lenses in the anterior chamber
Debdulal Chakraborty1, Tuhin Choudhury2
1 Department of Vitreo-Retinal Services, Disha Eye Hospitals, Barrackpore, West Bengal, India
2 Department of Cornea Services, Disha Eye Hospitals, Barrackpore, West Bengal, India
| Date of Web Publication | 13-Apr-2022 |
Correspondence Address:
Debdulal Chakraborty
Department of Vitreo-Retinal Services, Disha Eye Hospitals, 88 Ghosh Para Road, Barrackpore, Kolkata, West Bengal - 700 120
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ijo.IJO_2912_21
How to cite this article:
Chakraborty D, Choudhury T. Two intraocular lenses in the anterior chamber. Indian J Ophthalmol Case Rep 2022;2:622 |
A 61-year-old gentleman presented with double vision in the right eye following cataract surgery done elsewhere. Examination revealed a polymethyl-methacrylate (PMMA) intraocular lens (IOL) placed in the anterior chamber (AC), along with a subluxated hydrophilic IOL, with one haptic between the PMMA lens and the iris [Figure 1]a and [Figure 1]b. Both IOLs were removed, and as capsular support was adequate, a MA60AC IOL was placed in the sulcus. | Figure 1: (a) Diffuse slit-lamp photograph showing a polymethyl-methacrylate (PMMA) intraocular lens (IOL) placed in the anterior chamber, along with a subluxated hydrophilic IOL, with one haptic between the PMMA lens and the iris. (b) Magnified slit-lamp image with retro-illumination showing the subluxated hydrophilic IOL behind the PMMA IOL
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In unusual circumstances, a second IOL is implanted without removing the first.[1] While there are reports of a second IOL dislocated into the vitreous cavity,[2],[3] two IOLs in the AC has never been described.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
| References | |  |
| 1. | Emanuelli A, Smiddy WE. Management of 2 intraocular lenses in the same eye. JAMA Ophthalmol 2013;131:86-7.  |
| 2. | Smiddy WE, Ibanez GV, Alfonso E, Flynn HW Jr. Surgical management of dislocated intraocular lenses. J Cataract Refract Surg 1995;21:64-9. |
| 3. | MelloMO Jr, Scott IU, Smiddy WE, Flynn HW, Feuer W. Surgical management and outcomes of dislocated intraocular lenses. Ophthalmology 2000;107:62-7. |
[Figure 1]
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