Early decentration of plate-haptic silicone intraocular lenses

We report 4 eyes of a consecutive Series of 1299 that developed early decen tration of a 10.5 mm diameter plate-haptic silicon intraocular lens (IOL) a fter uneventful phacoemulsification. Ail eyes had an intact continuous curv ilinear capsulorhexis (CCC) with the IOL placed in the capsular bag. After an initial period of good vision, patients noted the onset of glare or mono cular diplopia between 1 and 5 weeks after surgery. On examination, there w as no significant anterior capsule contraction; however, the edge of the IO L optic was visible in the undilated pupil. There was adhesion between the anterior and posterior capsules at the margin of the CCC that maintained th e IOL decentration, Decentration recurred in 1 eye after the IOL was rotate d 90 degrees and recentered. Symptoms resolved in 3 eyes after the IOL was removed and replaced With a rigid:IOL with a larger diameter optic. J Catar act Refract Surg 2001; 27:330-3320 2001 ASCRS and ESCRS.