FP762 : Simple method of IOL exchange in refractive surprise post cataract surgery.

Dr.Sumit Sachdeva

One of the unsatisfactory outcomes of cataract surgery is the insertion of an IOL implant of the wrong power. A biometry error is supposedly one of the most common cause. A 68-year-old man underwent uneventful phaco with PCIOL of the power +23.0D OD. One week post operatively the patient had unaided visual acuity of 6/36. After a month a spherical error of +3.00DS\+0.50 cylinder at 180 was recorded which resulted in BCVA of 6/12. He was dissatisfied with the surgery. He did not want to use glasses and requested the surgeon to explant the IOL , A repeat biometry revealed expected IOL power to be +25D .Patient was taken up for IOL exchange with a new IOL insertion of the above mentioned power. After an uneventful cataract surgery the patient had a post operative best corrected visual acuity of 6/9 with 0.5Dcyld 180. The pictures will be shown which were taken during this relatively simple yet important surgery.