• Hajra Arshad Malik Amanat Eye Hospital
  • Maham Khalid Amanat Eye Hospital
  • Rayyan Sabih Amanat Eye Hospital
  • Hina Khan Amanat Eye Hospital
  • Aamir Asrar Amanat Eye Hospital




We present a case of a 65-year-old Pakistani woman who underwent an uneventful standard left phacoemulsification with posterior chamber intra-ocular lens placement for a mature senile cataract. She was observed to develop post-operative astigmatism secondary to a tilted intra-ocular lens and required repeat surgical intervention to correct the malposition. Per-operatively, the lens was found to be defective with a fixed bend at the haptic-optic junction which necessitated the need for an intra-ocular lens exchange procedure that restored adequate vision. The study highlighted defects in the structural integrity of intra-ocular lenses as an important differential to consider in such cases, and established lens replacement as a successful intervention to improve visual outcome.

Author Biographies

Hajra Arshad Malik, Amanat Eye Hospital

Research Assistant, Medical Retina Clinic, Amanat Eye Hospital

Maham Khalid, Amanat Eye Hospital

Research Assistant, Amanat Eye Hospital

Rayyan Sabih, Amanat Eye Hospital

Research Assistant, Amanat Eye Hospital

Hina Khan, Amanat Eye Hospital

Consultant Ophthalmologist, Head of Ophthalmic Diagnostics Amanat Eye HospitalMBBS, FCPS, FRCS;Fellowship in Medical Retina and Uveitis (UK)

Aamir Asrar, Amanat Eye Hospital

Chief Consultant Ophthalmologist, Amanat Eye HospitalMBBS, MRCOPhth, FRCSFellowship in vitreo-retinal surgeryFellowship in corneo-refractive surgery


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