OPAQUE IRIS CLAW LENS IN A PHAKIC EYE TO CORRECT ACQUIRED DIPLOPIA

A 25-year-old man had diplopia caused by abducens nerve paresis on bot h sides after cranial injury. Because of the patient's reports of pers istent diplopia after surgical correction, a specially manufactured, t inted iris claw lens was implanted in the left eye, with the crystalli ne lens in situ. Fourteen years after surgery, specular microscopy was performed to evaluate the corneal endothelium. The difference in mean endothelial cell density in both eyes was 18.6%. The difference betwe en eyes in polygonality and polymegathism was not significant.