Angle-Supported Phakic IOL Migration Following Trauma

  • Jorge L. AlióEmail author
  • Jaime Javaloy
  • Alessandro Abbouda


Rotation of the angle-supported PIOL is a potential long-term complication of phakic IOL [1]. Rotation can occur in all models of AS PIOLs, especially following trauma. The Kelman Duet anterior chamber intraocular lens, because of its three-point fixation, can rotate in a counterclockwise direction [2].


Anterior Chamber Blunt Trauma Good Correct Visual Acuity Slit Lamp Examination Anterior Chamber Depth 
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Supplementary material

Video 83.1

A paracentesis was performed in the limbus at 10 h. 0.1 ml of acetylcholine was injected in the anterior chamber. Using a Sinskey hook, the lens was rotated in a clockwise direction, removing the haptic from the ciliary sulcus (MPG 63286 kb)


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    Assia EI, Blotnick CA, Powers TP, Legler UF, Apple DJ (1994) Clinicopathologic study of ocular trauma in eyes with intraocular lenses. Am J Ophthalmol 117:30–36CrossRefPubMedGoogle Scholar
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    Lovisolo CF, Fabio M, Reinstein DZ, Timothy A (2012) Chapter-04 proper patient assessment, selection and preparation. In: Alio’ JL, Perez-Santonja JJ (eds) Refractive surgery with Phakic IOL, Fundamentals and clinical practice. Jaypee, Panama, pp 126–146Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Jorge L. Alió
    • 1
    Email author
  • Jaime Javaloy
    • 2
  • Alessandro Abbouda
    • 1
    • 3
    • 4
  1. 1.Department of Refractive SurgeryVissum Corporación OftalmológicaAlicanteSpain
  2. 2.Department of Anterior Segment and Refractive SurgeryVissum Corporacion OftalmológicaAlicanteSpain
  3. 3.Department of Ophthalmology-Policlinico Umberto I of RomeUniversity of Rome “Sapienza”RomaItaly
  4. 4.R&D DepartmentVissum Corporación OftalmológicaAlicanteSpain

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