Journal of Cataract & Refractive Surgery
Volume 34, Issue 1 , Page 17, January 2008

January consultation # 9

Sint-Truiden, Belgium

Article Outline

 

In this case there is a doubt about the preoperative scotopic pupil size of the patient. The author reports a scotopic pupil size greater than 7.0 mm. (An exclusion criterion for the Artisan pIOL is a pupil larger than 7.0 mm.) I wonder what the pupil size was postoperatively. If a Seidel test is positive, it proves wound leakage.

Kohnen et al.1 report a case of intermittent myopic shift after implantation of an Artisan pIOL. They accurately describe the symptoms, possible examinations, and solutions. Güell reported a similar case. I have also observed this phenomenon (unpublished case). After changing the site of enclavation, the phenomenon of spasm of accommodation resolved. Because of the relationship between pupil size and accommodation, I suggest changing the site of enclavation.

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Reference 

  1. Kohnen T, Cichocki M, Bühren J, Baumeister M. Intermittent myopic shift of 4.0 diopters after implantation of an Artisan iris-supported phakic intraocular lens. J Cataract Refract Surg. 2005;31:1444–1447

PII: S0886-3350(07)01829-9

doi:10.1016/j.jcrs.2007.11.011

Journal of Cataract & Refractive Surgery
Volume 34, Issue 1 , Page 17, January 2008

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