Innovative intraocular lens design to manage surgical aphakia in an eye with a filtering bleb.

J Cataract Refract Surg

From Vitreoretinal Services (Madhivanan, Aysha), Orbit and Oculoplasty Services (Nivean), MN Eye Hospital, Chennai, and Glaucoma Services (Arthi) and Vitreoretinal Services (Madanagopalan), JB Eye Care & Retina Centre, Salem, India.

Published: November 2020


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Article Abstract

An innovative intraocular lens (IOL), the CM-T Flex IOL, was used to correct surgical aphakia without disturbing a functioning filtering bleb. A 66-year-old man presented with aphakia in the left eye. Cataract extraction and trabeculectomy was performed in the left eye 2 years previously elsewhere. Corrected distance visual acuity (CDVA) in the left eye was 6/18, and, on examination, it showed a filtering bleb that encroached on the limbus and superior cornea. The cornea was clear with a deep anterior chamber. Retinal examination was normal. Disc cupping was noted with a cup-to-disc ratio of 0.8. Refractive correction was performed by implanting the CM-T Flex IOL. This IOL has a unique design that eliminates the need for maneuvering the IOL haptics extraocularly. It entails a simple grasp, exteriorize, and release technique that anchors the IOL firmly to the scleral bed. At 6 months, CDVA in the left eye was 6/9 with a stable, centered IOL.

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http://dx.doi.org/10.1097/j.jcrs.0000000000000292DOI Listing

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