|
A physician reported that during the intraocular lens (iol) implant procedure, a very small foreign body was found within the lens, exhibiting a metallic sheen near the haptic, approximately the size of a toric marking.The finding was noted immediately after implantation, and he attempted to polish it without success.The foreign body did not appear metallic.Additional information received and stated that the patient had a normal postoperative course.After inserting the lens, it was noted that there was a square-shaped refractive opacity that appeared to be within the lens adjacent to the optic.To ensure that the opacity was not on the surface, the surgeon used a soft-tip irrigation and aspiration handpiece over the area on both the front and back of the lens, without any movement of the opacity.The surgeon then used a hook and dragged it across the opacity several times, and it glided smoothly across the area as it would over the rest of the lens.This led to the belief that the opacity was within the lens itself.The surgeon did not want to remove the lens if the opacity was not causing harm.The surgeon discussed this with the patient and left the lens in the eye, with a plan to dilate the following day and examine it using the highest-powered slit lamp.At the slit lamp the next day, the opacity appeared clear and polychromatic.It did not appear like metal and again appeared to be within the lens itself.The surgeon planned to bring the patient back to take a non-magnified picture as requested.The patient was seeing very well and had no interest in lens removal as long as it was safe to remain in the eye.The lens was placed in the cartridge approximately 15 seconds before implantation.There was no impact to the patient.Visual acuity was 20/20, and healing was normal.
|