Opaque intraocular lens implantation: a case series and lessons learnt

Richard MH Lee¹, Vincent DJP Dubois¹, Ioannis Mavrikakis¹, Salim Okera¹, Gerard Ainsworth¹, Sarah Vickers¹, Christopher SC Liu<sup>1,2

1</sup>Department of Ophthalmology, Sussex Eye Hospital, Brighton, UK; ²Tongdean Eye Clinic, Hove, UK

Purpose: To report the use of opaque intraocular devices in three patients with complex neuro-ophthalmic symptoms.
Methods: A case series of three patients with neuro-ophthalmic symptoms requiring occlusion of one eye when alternative methods had failed to control symptoms. Morcher (Stuttgart, Germany) opaque intraocular implants were used in all patients.
Results: All three patients observed an improvement in symptoms following opaque intraocular device implantation. One patient (Case 2) required multiple devices for symptom relief.
Conclusion: Opaque intraocular occlusive devices are an increasingly popular choice for clinicians in patients with intractable diplopia but we highlight their use in patients with other complex neuro-ophthalmic symptoms. We learned a number of useful lessons in these patients as summarized in this case series.

Keywords: intraocular lens, opaque IOL, occlusive IOL, occlusive intraocular lens, diplopia implant

A Letter to the Editor has been received and published for this article.