Dr. MEGHALI BHATTACHARJEE

, Dr. MAHINDRAKAR ANIRUDDHA DINKAR

Abstract

Opacification of IOL is known and requires intraocular lens exchange. Our case is a 64 year old lady with Vision PL, accurate projection, incisional scar of cornea causing superior corneal non visual axis opacity and no fundus visualization. A superior small incision entry followed by viscoseperation of the IOL from the capsular bag. Dissection to create space between the capsular margin and the IOL. The lens was explanted. At 8 O’ clock there was an adhesion of the anterior capsule with the Posterior capsule. A pre-existing rent was observed without vitreous in anterior chamber. A decision to put in a rigid PMMA lens into sulcus in view of the adhesion and the preexisting rent was taken and done. Analysis of the explanted IOL showed that the lens was completely opacified. The BCVA improved from PL and accurate projection to 6/60. The vision did not improve further due to pre-existing retinal pathology. Our steps of keeping the capsular rim intact improve the visual prognosis.