On 30-jul-2017 staar was made aware of a journal article regarding a case of hypermature cataract formation following implantation of an implantable collamer lens with an aquaport.The article states the patient was a (b)(6) man and a 12.6 mm lens was inserted into his left eye (os) at another (unknown) clinic 4 months previously.The patient complained of blurry vision.Medical records showed no intraoperative surgical complications.Upon examination, the following was noted: anterior subcapsular opacity, swelling of the lens, vaulting of the lens was 1/4 of the corneal thickness, the icl was decentered inferonasally and in a vertical position.It is stated that, after one month, the subcapsular opacity progressed rapidly to a hypermature cataract and the icl was rotated to 60 degrees from the horizonal meridian.There was a flare of 1+ in the anterior chamber.Cataract surgery was performed and the icl was explanted.Upon explantation, the lens showed whitish infiltrates on its surface.The reason for the rapid cataract progression is not clear.Upon contact with 2 of the 3 surgeons who wrote the article, the following information was obtained: this case occurred 3-4 years prior to article publication.The surgeon had a "strong suspicion" that there was a surgical complication on this case and that the lens was touched during the operation however, this could not be proven nor confirmed as the original operation surgeon denied any surgical complication.No additional information is available.
|