PMC3334206_01
PMC3334206_02
Opaque intraocular lens insertion during several different procedures of Case 2: (A) Insertion of a Morcher (type 80D) opaque intraocular lens into the lens capsular bag through a scleral tunnel incision; (B) Following the second operation of Case 2, there was still a visible gap between the dual castellated rings and the central black intraocular lens, allowing a crescent of red reflex to show; (C) Custom-made black implant of 10 mm "optic" diameter being inserted into the eye.
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PMC3334206_02_opth-6-545f1.jpg
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Left clear lens extraction and insertion of an opaque IOL into the capsular bag (Figure 1A) was performed using an 80D Morcher implant (optic diameter 6.0 mm). A third procedure was carried out a fortnight later at which point the implant was recentered, but despite this it was evident at the end of the operation that a red reflex persisted around the edge of the optic (Figure 1B). A Morcher sulcus-fixated custom implant (Figure 1C, optic diameter 10 mm) was then inserted in front of the previous optic and castellated rings (all of which had since become intertwined, preventing removal).
PMC3334206_03