2019
DOI: 10.5693/djo.02.2019.09.002
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Pupillary capture of implantable collamer lens after oral antidepressants

Abstract: We report the case of a 26-year-old man under treatment with the antidepressant drugs olanzapine and buspirone, which are associated with anticholinergic effects, in whom an implantable collamer lens (ICL) became spontaneously dislocated. ICL dislocation and pupil capture occurred 10 months postoperatively. The lens was successfully repositioned. The possible role of these drugs in the dislocation of the ICL is discussed.

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Cited by 3 publications
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“…These two drugs both have anticholinergic effects and can cause pupil dilation and ciliary paralysis, which is speculated to make ICL dislocate into the anterior chamber in conjunction with other factors such as face-down ducking and dim-light induced pupil dilation. This case suggests that systemic anticholinergic agents may be a relative contraindication to ICL implantation [90]. Up to now, fourteen cases of trauma-related ICL dislocation had been reported, of which thirteen cases occurred after ocular contusion.…”
Section: Abnormal Position Of Iclmentioning
confidence: 83%
“…These two drugs both have anticholinergic effects and can cause pupil dilation and ciliary paralysis, which is speculated to make ICL dislocate into the anterior chamber in conjunction with other factors such as face-down ducking and dim-light induced pupil dilation. This case suggests that systemic anticholinergic agents may be a relative contraindication to ICL implantation [90]. Up to now, fourteen cases of trauma-related ICL dislocation had been reported, of which thirteen cases occurred after ocular contusion.…”
Section: Abnormal Position Of Iclmentioning
confidence: 83%