Eyes can remain healthy after 40 years of an anterior chamber intraocular lens

Christian Le Roy Marz; Miguel Ángel Ibáñez Hernández; Arturo Iván  Pérez Pacheco

doi:10.70313/2718.7446.v18.n2.425

Authors

Christian Le Roy Marz Hospital Puerta de Hierro, Jalisco, México
Miguel Ángel Ibáñez Hernández Hospital Puerta de Hierro, Jalisco, México.
Arturo Iván Pérez Pacheco Hospital Star Médica Querétaro

DOI:

https://doi.org/10.70313/2718.7446.v18.n2.425

Keywords:

anterior chamber intraocular lens, intracapsular cataract extraction, endothelial microscopy, refraction, visual quality

Abstract

Objective: To present the case of a patient with an anterior chamber intraocular lens (AC-IOL) for 40 years, with no complications, highlighting that when the patient’s indication is appropriate, they are safe implants.

Case report: We present an 85-year-old woman who comes to ophthalmology department for an evaluation for a comprehensive visual health check and with the presence of hyposphagma in the right eye (RE). As a relevant data, we found that extracapsular cataract extraction was performed in the RE, with placement of a posterior chamber. In the contralateral eye left eye (LE), intracapsular cataract extraction was done, with an AC-IOL implanted, with more than 40 years ago. The physical examination assessed visual acuity of 20/100 RE and 20/80 LE. Best-corrected visual acuity 20/50 RE and 20/40 LE. Pachymetry of RE 526 microns and LE 538 microns, intraocular pressure of 15 mmHg RE, and 16 mmHg LE. RE refraction: -4.00 -3.75 177° and LE -6.50 -2.75 50°. Endothelial cell density was 1786 cells/mm² and 2552 cells/mm² (RE, LE respectively). Pleomorphism and polymegatism were both normal in each eye.

Conclusion: This case represents that if the patient is chosen correctly, the implantation of an anterior chamber IOL can give good anatomical and functional results without complications, even 40 years after surgery.

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Author Biographies

Christian Le Roy Marz, Hospital Puerta de Hierro, Jalisco, México

Departamento de Investigación, Catarata y Cirugía Refractiva, Hospital Puerta de Hierro, Jalisco, México.
Miguel Ángel Ibáñez Hernández, Hospital Puerta de Hierro, Jalisco, México.

Departamento de Investigación, Catarata y Cirugía Refractiva, Hospital Puerta de Hierro, Jalisco, México.
Arturo Iván Pérez Pacheco, Hospital Star Médica Querétaro

Departamento de Investigación, Catarata y Cirugía Refractiva, Hospital Star Médica Querétaro, México.

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