AI Article Synopsis
- The study aims to highlight the ocular complications arising from improperly placed Kelman Multiflex anterior chamber intraocular lenses (ACIOL) during cataract surgery.
- It reviews four cases where an inverted ACIOL led to several serious issues, such as chronic iritis, cystoid macular edema, and corneal decompensation.
- The authors emphasize the importance of correct lens orientation during insertion to prevent these complications, noting that the lens should be positioned with the optic facing forward.
Article Abstract
Purpose: To describe ocular complications resulting from inverted insertion of a Kelman Multiflex anterior chamber intraocular lens (ACIOL).
Design: Retrospective observational case series.
Methods: We describe the outcomes of 4 cases of complicated cataract surgery in which a flexible open-loop polymethylmethacrylate (PMMA) ACIOL (Kelman Multiflex type) was placed in an inverted configuration, all of which were referred to a single institution.
Results: In all 4 cases, the placement of an inverted ACIOL resulted in ocular complications including chronic iritis, cystoid macular edema, pupil capture, iris adhesions, and corneal decompensation.
Conclusions: Inadvertent inverted placement of the Kelman Multiflex anterior chamber intraocular lenses can lead to a constellation of severe ocular complications. When inserting such lenses, the surgeon should ensure that the lens is correctly oriented such that the optic vaults anteriorly and not posteriorly.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5410585 | PMC |
| http://dx.doi.org/10.1016/j.ajo.2011.01.025 | DOI Listing |
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