What is an Aciol?

Contributor: Jesse Vislisel, MD; Thomas A. Oetting, MS, MD. This is an anterior chamber intraocular lens (ACIOL) implant that was placed in a patient with history of aphakia after congenital cataract extraction and contact lens intolerance. last updated: 07/01/2015.

Where is Aciol placed?

Surgical Technique Modern ACIOL, with less frequent complications, are typically flexible and open loop with a supporting base at the end of each haptics. These haptics are inserted in the anterior chamber angle against the scleral spur, and ideally without disruption of the iris.

Can an intraocular lens be removed and replaced?

Although it is rarely necessary, the IOL can be removed and replaced. Although the need to remove the lens is very unusual, the most common reason would be that the power is incorrect, despite all of the preliminary calculations. Another reason would be if the IOL shifted out of position inside the eye.

What is phakic and pseudophakic eyes?

It is called “phakic” (meaning “having a lens”) because the eye’s natural lens is left untouched. Intraocular lenses that are implanted into eyes after the eye’s natural lens has been removed during cataract surgery are known as pseudophakic.

Can you dilate someone with an anterior chamber IOL?

Corrective lenses for distance can be prescribed at approximately one week. These patients typically are safe to dilate within days of surgery if necessary, but close communication with the surgeon is required to navigate any concerns with these abnormal cases.

How long do intraocular lenses last?

IOLs have been around since the late 1940s and were the first devices to be implanted in the body. Unlike natural lenses, IOLs do not break down over a person’s lifetime and do not need to be replaced.

What is pseudophakic eye?

Pseudophakia is a Latin word for false lens. We use this term after placing an artificial lens into the eye. Also known as intraocular IOL, lens implants, or “fake eye lenses,” this procedure can significantly improve vision after removing cataracts and replacing them with a new lens.

What does bilaterally pseudophakic mean?

Pseudophakia means “fake lens.” It’s a term that’s used after you’ve had an artificial lens implanted in your eye to replace your own natural lens. This is done during cataract surgery. The implanted lens is called an intraocular lens (IOL) or pseudophakic IOL.

When is an aciol indicated for intraocular lens placement?

Placing an ACIOL is indicated when capsular support for placement of the intraocular lens (IOL) posterior to the iris is deficient (capsular tear or zonular damage), the iris is normal, and the chamber is deep. Many options exist for IOL placement in the setting of poor capsular support.

What are the possible complications of an aciol?

The proximity of an ACIOL to the cornea and anterior chamber angle accounts for the majority of its potential complications, which include: Pseudophakic bullous keratopathy (endothelial decompensation) Glaucoma. Peripheral anterior synechiae. Uveitis – glaucoma – hyphema syndrome. Cystoid macular edema[1,5]

What is an anterior chamber intraocular lens (aciol)?

The anterior chamber intraocular lens (ACIOL) implant was introduced in 1952 as the original Baron IOL. An important advantage over the posterior chamber IOL (PCIOL) is that the ACIOL can be placed into an eye after both intra- or extracapsular cataract extraction, regardless of the status of the capsular bag.

Are aciol lenses bad for Your Eyes?

ACIOLs sit in a place that nature didn’t intend to hold a lens. That makes this option susceptible to a list of potential complications that can result in damage to the cornea, iris or angle. “Posterior chamber lenses are generally thought of as being healthier for the eye because they’re farther from the corneal endothelium,” says Dr. Donaldson.