International Ophthalmology

, Volume 32, Issue 6, pp 603–605 | Cite as

Refractive surprise following implantation of correct powered intraocular lens—a real surprise!

  • Kumar Ravi
  • Sirisha Senthil
  • Veerendranath Pesala
Case Report


We report a case of a 60-year-old male with unsatisfactory visual outcome following an uneventful phacoemulsification surgery for the left eye at our hospital. The evaluation of his anterior segment revealed a clear cornea, a well-positioned in-the-bag intraocular lens (IOL) and normal posterior segment. His vision in the left eye was 20/160 improving to 20/20 with +6.5 D Sphere. Repeat biometry of the left eye revealed IOL power of 22.0 D, which was same as the power of the IOL implanted during the cataract surgery. The patient underwent IOL explantation and implantation of another foldable IOL of 22.0 D. On follow-up he had an uncorrected visual acuity of 20/20. On evaluation with the Scheiner optical system, the explanted lens was found to have power of +13.92 D. This case highlights the rare possibility of postoperative refractory surprise due to incorrect labelling of the IOL by the manufacturer.


Phacoemulsification Intraocular lens exchange Refractive surprise 



Grant support, research funding and proprietary interest is none, and presentation at meeting is also none.


  1. 1.
    Jin GJC, Crandall AS, Jones JJ (2005) Changing indications for and improving outcomes of intraocular lens exchange. Am J Ophthalmol 140:688–694PubMedCrossRefGoogle Scholar
  2. 2.
    Carlson AN, Stewart WC, Tso PC (1998) Intraocular lens complications requiring removal or exchange. Surv Ophthalmol 42:417–440PubMedCrossRefGoogle Scholar
  3. 3.
    Kelly SP, Jalil A (2011) Wrong intraocular lens implant; learning from reported patient safety incidents. Eye 25:730–734PubMedCrossRefGoogle Scholar
  4. 4.
    Burks R (2005) How can this happen [letter]? Ophthalmology 112:2057PubMedCrossRefGoogle Scholar
  5. 5.
    Porter J (2006) IOL Incorrrect selection. Ophthalmology 113:883PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • Kumar Ravi
    • 1
  • Sirisha Senthil
    • 1
  • Veerendranath Pesala
    • 1
  1. 1.VST Glaucoma CenterLV Prasad Eye InstituteHyderabadIndia

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