Secondary positioning of rotationally asymmetric refractive multifocal intraocular lens in a patient with glaucoma: A case report

Figure 1 Slit lamp examinations 2 wk after phacoemulsification in the left eye. A: The swelling of the corneal endothelium and the proliferation of lens epithelial cells are most pronounced (yellow arrow) over the surface of the intraocular lens; B: The intraocular lens is centered with the near segment placed inferonasally (blue: near segment; green: distant segment).

Figure 2 Intraoperative images of the rotating lens. A: Preoperatively, the light projection of the microscope coincides with the center of the intraocular lens (IOL); B: Separating capsulorhexis opening with a needle; C: Polishing anterior capsule. The laser hole (yellow arrow) after peripheral iridectomy is clearly visible; D: Locating the position of the IOL after rotation with a ring manually; E: Adjusting the position of the IOL with an IOL hook; F: The light projection of the microscope is on the central point of the IOL after rotation.

Figure 3 Slit lamp examinations 1 yr after phacoemulsification in the left eye. A: The intraocular lens (IOL) with the near segment placed superotemporally the first day after rotation in the left eye (blue: near segment; green: distant segment); B: The IOL with the near segment placed superotemporally one year after rotation in the left eye; C: The IOL with the near segment placed inferiorly with slight nasal deviation half a year after phacomulsification in the right eye.