Imaging the macula through a black occlusive intraocular lens.

B lack occlusive intraocular lens (IOL) insertion has been shown to be an effective treatment for intractable diplopia, visual confusion, and poor cosmesis resulting from leukokoria. A significant disadvantage of occlusive IOL insertion is that conventional funduscopy is not possible, preventing the detection of posterior pole disease. Here we describe a patient in whom we made the novel discovery of successful macular imaging through an occlusive IOL using an infrared light–based scanning laser ophthalmoscope/optical coherence tomography (OCT) scanner. We suggest that this report is likely to fundamentally change the current thinking on occlusive IOLs and to promote their use in the management of these patients.