Decentration of an hamber Intraocular Lens due to aocularation

Abstract

To the Editor. —Decentration of a PC IOL as a late complication of extracapsular cataract surgery has been well documented in the literature.^1-2The most frequent cause is the placement of one haptic in the capsular bag and the other in the ciliary sulcus. Subsequent contracture of the capsularg may deform the hapticltimately decenter the optic. We have seen several such cases associated with polypropylene (Prolene) haptics, and during repositioning surgery have discovered permanent crimping of the haptic loop, necessitating IOL exchange. We present herein a case of a decentered all-PMMA one-piece PC IOL that was caused by capsular bag contracture and permanent deformation of one of the haptics. Report of a Case. —A 48-year-old white man with myotonic dystrophy underwent an extracapsular cataract extraction with implantation of a one-piece, high-molecular-weight, all-PMMA, small-compression-molded, PC IOL (Model 6222, PC UV IOL, Precision Cosmet, Minneapolis, Minn) in the left eye in December