Dr.Namrata Kabra, Dr.Nidhi Singhania
Purpose-To describe the surgical technique of managing case of inverted ICL Implantation. Method-A case report
Result-A 36 year old woman with inverted placement of ICL who presented us with a refractive surprise of +4.00 DS/-3.00 DC x 90 degrees.She was found to have extremely low vault on clinical examination which was confirmed with ASOCT(100µm). She underwent explantation,reinversion and reinjection of ICL. Hand over hand method was used in our case for explantation of ICL.Postoperatively patient achieved emmetropia with adequate vault (440µm).Postoperative period was uneventful and findings were stable on follow up visits.
Conclusion-Invertedly implanted ICL is although rare complication,should be suspected as one of the differentials in case of beginners and should be managed properly to avoid further complications.It also illustrates the importance of paying attention to the landmarks while ICL loading,unfolding during injection and before sulcus placement to avoid inversion