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Year : 2022  |  Volume : 2  |  Issue : 3  |  Page : 680-681

An unusual complication of retropupillary iris claw intraocular lens fixation

Department of Glaucoma Services, Sankara Eye Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Roshan G Colaco
Sankara Eye Hospital, Varthur Main Road, Kundanahalli Gate, Bengaluru- 560037, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_3089_21

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A patient with well enclaved retropupillary iris-claw intraocular lens (IOL) presented 3 months later with spontaneous diminishing of vision to counting fingers at 3 m. On slit-lamp examination, the cornea was clear, the anterior chamber was normal in depth and the IOL was found to have rotated by 90° and was now vertical, perpendicular to the iris and pupillary plane, and the superior site of enclavation was kinked. The edge of the IOL optic was seen protruding out of the pupil; however, not touching the cornea and a fibrosed posterior capsule was noted nasally. The patient was taken for anterior vitrectomy with repositioning of the IOL. The lever effect of the remnant posterior capsule can be the cause of the tilt.

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