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Scleral-fixated posterior chamber intraocular lenses (SFIOL) are an attractive option for optical correction of aphakia in people with ectopia lentis. Postoperative intraocular lens (IOL) tilt/decentration have been reported in 5–10% of eyes that undergo SFIOL implantation.1 2 We report the case of a boy with aniridia who underwent SFIOL implantation and had intraoperative IOL tilting, and the management of intraoperative tilting.
A 16-year-old boy had been diagnosed at 4 weeks of age to have bilateral aniridia with almost completely absent irides, ectopia lentis, anterior polar cataracts, macular hypoplasia and nystagmus. Sequence analysis of the coding exons of the PAX6 gene revealed a C→T variant at nucleotide 1017 of the cDNA M93650 (http://pax6.hgu.mrc.ac.uk/About/pax6cdna.htm). This novel …
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