Corneal endothelial damage presumably caused by a broken loop of intraocular lens

K. Majima, K. Kiribuchi, K. Itonaga, N. Yamamoto

Research output: Contribution to journalArticlepeer-review


A 59-year-old male underwent cataract surgery in his left eye with phacoemulsification-aspiration and intraocular lens (IOL) insertion. The IOL was made of silicone for optics and polypropylene for haptics. The IOL was fixated out of the bag because of ruptured posterior capsule during surgery. The corrected visual acuity was 0.5 1 week after surgery and 0.01 3 months later. The endothelial cell population was 748/mm2 at 3 months and 1,500/mm2 before surgery. The coefficient of variation (CV) was 0.51 at 3 months and 0.40 before surgery. The rate of hexagonal cells was 23% at 3 months and 35% before surgery. The left eye was diagnosed with bullous keratopathy and received penetrating keratoplasty. As intraoperative finding, the IOL was dislocated and a fractured piece of the loop perforated the iris. The bullous keratopathy appeared to be caused by damage to the corneal endothelium by the ruptured piece of IOL haptics.

Original languageEnglish
Pages (from-to)1457-1461
Number of pages5
JournalJapanese Journal of Clinical Ophthalmology
Issue number7
Publication statusPublished - 2001

All Science Journal Classification (ASJC) codes

  • Ophthalmology


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