Cracked acrylic intraocular lens requiring explantation

Background: Intraoperative cracking of foldable acrylic posterior chamber intraocular lenses has previously been documented. However; most cracks have resulted in no significant visual impairment. Methods: A case report of an acrylic posterior chamber intraocular lens that cracked during folding. Results: The crack in the lens resulted in significant optical disturbance and required explantation and insertion of another lens. Conclusions: Acrylic intraocular lenses must be folded carefully with the appropriate forceps to prevent cracking of the optic.