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Case Reports
. 2009 May-Jun;57(3):230-1.
doi: 10.4103/0301-4738.49401.

Late corneal edema due to retained foldable lens fragment

Nikhil S Gokhale  1
Affiliations
Case Reports

Late corneal edema due to retained foldable lens fragment

Nikhil S Gokhale. Indian J Ophthalmol. 2009 May-Jun.

Abstract

Late onset of corneal edema after cataract surgery is an unusual complication. We report a case of corneal edema presenting one month after cataract surgery. During implantation of the foldable lens, one haptic of the intraocular lens fractured at the optic haptic junction. This caused lens decentration, necessitating an intraocular lens exchange ten days later. The patient was recovering well but presented again two weeks later with a drop in vision due to corneal edema. A retained haptic of the intraocular lens was seen in the inferior anterior chamber angle. After surgical removal of the retained haptic the corneal edema fully resolved. Retained intraocular lens fragments can cause corneal endothelial damage, which may be reversible with an early diagnosis and intervention.

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Figures

Figure 1
Figure 1
Preoperative picture showing corneal edema in the lower cornea
Figure 2
Figure 2
Intraoperative picture showing the intraocular lens fragment in the anterior chamber
Figure 3
Figure 3
Intraoperative picture of the explanted intraocular lens fragment
Figure 4
Figure 4
Postoperative picture at six weeks showing a clear cornea
See this image and copyright information in PMC

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