Case Report: Diagnosis of Late Spontaneous Intraocular Lens Dislocation on Point-of-care Ultrasound.

Thompson Kehrl,Alexandra Pizarro

doi:10.5811/cpcem.2021.3.52208

Thompson Kehrl, Alexandra Pizarro

Open Access

https://doi.org/10.5811/cpcem.2021.3.52208

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Abstract

IntroductionSpontaneous intraocular lens (IOL) dislocation is a rare, but serious, complication following cataract surgery.Case ReportWe report a case of patient with a remote history of cataract surgery presenting to the emergency department with monocular blurred vision. Ocular point-of-care ultrasound (POCUS) facilitated diagnosis of a late spontaneous IOL dislocation.DiscussionProsthetic IOL dislocations are being reported with increasing frequency. Prompt recognition of IOL dislocation is essential to prevent secondary complications, including acute angle-closure glaucoma and retinal detachment, which can result in permanent vision loss.ConclusionPoint-of-care ultrasound is a rapid, noninvasive imaging modality for early detection of IOL dislocation to help guide management, improve patient outcomes, and mitigate long-term sequelae.

Highlights

Spontaneous intraocular lens (IOL) dislocation is a rare, but serious, complication following cataract surgery.Case Report: We report a case of patient with a remote history of cataract surgery presenting to the emergency department with monocular blurred vision
IOL dislocation occurs within the initial three-month postoperative period, secondary to improper IOL fixation to the capsular bag or instability of the capsular bag resulting in zonular rupture
What is the major learning point? Prompt recognition of intraocular lens dislocation is essential in preventing secondary complications, such as acute angle-closure glaucoma and retinal detachment, which can result in permanent vision loss

Summary

Introduction

Spontaneous intraocular lens (IOL) dislocation is a rare, but serious, complication following cataract surgery. Case Report: We report a case of patient with a remote history of cataract surgery presenting to the emergency department with monocular blurred vision. Ocular point-of-care ultrasound (POCUS) facilitated diagnosis of a late spontaneous IOL dislocation

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