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JAMA Ophthalmology Clinical Challenge
July 2018

Late Complications of Single-Piece Intraocular Lens Implantation in the Ciliary Sulcus

Author Affiliations
  • 1Department of Ophthalmology, Duke University, Durham, North Carolina
  • 2Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, University of Illinois College of Medicine, Chicago
JAMA Ophthalmol. 2018;136(7):825-826. doi:10.1001/jamaophthalmol.2017.6050

A white man in his mid-50s presented with a 7-month history of decreased vision, pain, and elevated intraocular pressure (IOP) (up to 52 mm Hg) in his right eye. He had sustained blunt trauma to this eye 17 years before his presentation, resulting in a traumatic cataract requiring extracapsular cataract extraction with insertion of an intraocular lens (IOL). His subsequent annual eye examination results were unremarkable. He was prescribed maximal topical IOP-lowering medications, cyclopentolate, and hourly administration of prednisolone acetate and was referred to our institution. The remainder of his medical, family, and social histories were unremarkable.

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