A physician reported that during an intraocular lens (iol) implant procedure, scratches on the lens were observed after implanting the iol with the cartridge.The patient experienced glare and the iol was exchanged for another lens two weeks following the initial implant.Additional information provided indicating the patient experienced hazy, watery vision, glare, sensitivity and unable to focus clear at any range.The doctor commented the cartridge has cracks and signs of splitting.The abrasions on the iol do not appear like they are from forceps and nurse doesn't touch central optic when loading iol.The doctor also commented lens abrasions may possibly be from being quick in surgery with ¿ejecting lens very quickly and now allowing time for iol to settle in cartridge for tunnel size of plastic to shrink down¿.Comments that he notices cartridge expanding slightly on iol insertion with higher powered iol's.Also comments nurse may be a bit rough with loading but has discussed this with nurse and feels due to experience of nurse, this is unlikely cause of central iol abrasions.A different cartridge model was used during the iol exchange procedure.
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