Oversized ACIOL

file Retina Image Bank

File number: 29970


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    Appears in
    dislocated anterior chamber intraocular lens (ACIOL), uveitis glaucoma hyphaema (UGH) syndrome, glaucoma disorders of the lens, cystoid macular edema (CME), lrvine-Gass syndrome
    Imaging device
    Ultrasonography device
    Ellex 50MHz anterior B-scan probe
    A patient with a corneal diameter of 11.5mm was implanted with an MTA4UO anterior chamber intraocular lens (ACIOL). The patient subsequently developed cystoid macular edema (CME) with petalloid angiographic leakage and secondary glaucoma. Ultrasound biomicroscopy (UBM) demonstrates appropriate centration of the ACIOL optic (top), with both haptics embedded in the anterior chamber angle (middle), and anterior bowing of the midperipheral iris (bottom). Placement of an MTA3UO lens would likely have avoided this complication.

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