%0 Journal Article
%T Lens exchange for management of accommodative intraocular lens tilting
%A Ali Banafsheh Afshan
%A Amin Nabavi
%A Bahman Inanloo
%A Masoumeh Mohebbi
%J Archive of "Taiwan Journal of Ophthalmology".
%D 2019
%R 10.4103/tjo.tjo_12_18
%X Accommodative intraocular lens (IOL) tilting, the so-called Z syndrome, is a rare complication of Crystalens (Bausch and Lomb) implantation. We report a significant IOL tilting and subsequent high lenticular astigmatism due to posterior capsular fibrosis 2 months after uncomplicated cataract surgery and Crystalens (AT50AO) implantation. The attempt to correct IOL position with neodymium-yttrium-aluminum garnet laser was unsuccessful, and Crystalens exchange with in-the-sulcus, three-piece monofocal IOL was performed. Accommodative IOL tilting could occur early after the surgery. Laser capsulotomy may be the first intervention to restore IOL position, but patients with a higher amount of lenticular astigmatism may require surgical intervention and IOL exchange
%K Accommodative intraocular lens
%K intraocular lens exchange
%K intraocular lens tilting
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432850/