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. 2019 Jul 7;4(1):e000322. doi: 10.1136/bmjophth-2019-000322

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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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(A) Digital high-resolution photograph of the Scharioth macula lens. Note the central zone with a +10.0 D addition. (B) Clinical photograph of the Scharioth macula lens implanted in the eye. Note the ‘oil droplet sign’ of the central +10.00 addition on the intraocular lens (IOL). (C) Slit lamp illustrating the second Purkinje reflection (yellow arrow) from the Scharioth macula lens in the ciliary sulcus and the third Purkinje reflection (red arrow) from the primary intraocular lens in the capsular bag. Note the dark band between the two reflections showing that there is a clear space between the two IOLs.