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Scanning Electron Microscopic of Intraocular Lens Pits after Nd:YAG Capsulotomy

      A 69-year-old unstable and excessively mobile patient on the Nd:YAG laser, who inadvertently had multiple pitting of the intraocular lens (IOL) during several attempts of capsulotomy elsewhere, presented with reduced visual acuity of 20/200, halo and glare. Figure A shows his hydrophilic acrylic IOL (Akreos AO, Bausch & Lomb, Rochester, NY) with extensive pitting. He underwent IOL exchange for visual restoration. Figures B and C demonstrate the magnified view (30 and 100×, respectively) of the IOL surface on scanning electron microscopy. Figure D shows the petaloid feature of Nd:YAG effect on this IOL, which is magnified 1140×. (Magnified version of Fig 1A-F is available online at www.aaojournal.org).
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