Abstract
BackgroundThe 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.MethodsPatient 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.ConclusionPseduophakic eyes should be approached with caution when scleral indentation is attempted due to the possibility of zonular dehiscence and subsequent intraocular lens dislocation.
Highlights
Intraocular lens (IOL) dislocations are due to improper intraocular lens (IOL) fixation and occur within the first 3 months following cataract surgery
We present a case study of a 65-year-old male with a late, spontaneous IOL dislocation 8 years post-cataract surgery, following scleral depression
The first case of spontaneous in-the-bag IOL dislocation was recorded by Davidson in a patient with capsule contraction syndrome [7]
Summary
Intraocular lens (IOL) dislocations are due to improper IOL fixation and occur within the first 3 months following cataract surgery. Spontaneous IOL dislocations occur 3 months following cataract surgery. [6] Analyzed patients who were treated for IOL dislocation and found that 87.9% of late IOL dislocations exhibited an intact capsular bag and
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