We report a case series of capsule contraction syndrome in 5 eyes of 4 patients and describe a previously unreported complication: full flexion of the haptics onto the anterior surface of the optic. Haptics have been reported to slide anterior to the optic while remaining in their original coronal plane. As surgeons move to the use of preloaded injectable IOLs, it is important to scrutinize haptic-optic junction design and IOL material in the light of this complication.
It is likely that the inert nature and small size of diamond particles do not significantly affect visual acuity or hole closure and do not cause retinal toxicity. The authors discourage aggressive attempts to remove such particles during surgery.
The effects of whole-body vibration training have been well documented previously and parallels can be drawn with the effects of pneumatic drilling. Only one previous case of vitreous hemorrhage after whole-body vibration has been reported, and the authors urge vigilance in reporting this suspected association.
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