A 73-year-old woman had bilateral surgery for cortical cataract. The preoperative refraction was hyper-opic, with +2.00 diopters (D) sphere in both eyes. The surgical record noted a large, flaccid capsular bag and a floppy iris with its root tending to attach to the paracentesis openings. Surgery was uneventful. A single-piece acrylic intraocular lens (IOL) (AcrySof SA60AT, Alcon Laboratories) was chosen for implantation because of the propensity of the anterior chamber to flatten with instrument withdrawal. The IOL power was 24.00 D in the right eye and 23.50 D in the left eye. Biometry showed a mean keratometry reading of 42.10 D in the right eye and 43.00 D in the left eye; an anterior chamber depth (ACD) of 3.95 mm and 3.70 mm, respectively; and an axial length (AL) of 22.80 mm in both eyes. The day after surgery, the lOLs were in the bag with a circumferential capsule overlap in both eyes.
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