Late intraocular Lens dislocation following scleral depression: a case report

BMC Ophthalmol. 2020 Jan 30;20(1):39. doi: 10.1186/s12886-020-1327-3.

Abstract

Background: The case describes a rare entity. Most cases of IOL dislocation are associated with surgical trauma or preexisting zonulopathy. This patient presents IOL dislocation following routine exam, suggesting the need of careful evaluation of zonular integrity on pseudopahkic patients.

Methods: Patient is a 65 year old who presented with sudden loss of vision and pain following retinal examination using scleral depression. Patient was diagnosed with late intraocular lens dislocation, which was subsequently for proper repositioning of IOL.

Conclusion: Pseduophakic eyes should be approached with caution when scleral indentation is attempted due to the possibility of zonular dehiscence and subsequent intraocular lens dislocation.

Keywords: Dislocation; Intraocular lens; Late dislocation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cataract Extraction / adverse effects*
  • Foreign-Body Migration / diagnosis
  • Foreign-Body Migration / etiology*
  • Foreign-Body Migration / surgery
  • Humans
  • Lenses, Intraocular / adverse effects*
  • Male
  • Postoperative Complications*
  • Reoperation
  • Sclera / surgery*
  • Visual Acuity*