Abstract
Cataract surgeries have undergone a great evolution over a period of time. This evolution helped in reducing the overall rate of spontaneous dislocation of Intra Ocular Lens (IOL) and provide a standard management for cataracts. Until in recent times, cases have been reported with spontaneous dislocation of IOL. This spontaneous dislocation of the intra ocular lens (IOL) with intact capsular bag can be typically seen in conditions resulting from zonular insufficiency and zonulysis [1]. This has usually been associated with conditions like, posterior capsular rent, post ND: YAG laser, trauma, pseudo exfoliation, myopia and other risk factors [2-5]. Although, IOL dislocation can occasionally occur in a spontaneous manner without any predisposing factors [5-10].
Highlights
Cataract surgeries have undergone a great evolution over a period of time. This evolution helped in reducing the overall rate of spontaneous dislocation of Intra Ocular Lens (IOL) and provide a standard management for cataracts
This spontaneous dislocation of the intra ocular lens (IOL) with intact capsular bag can be typically seen in conditions resulting from zonular insufficiency and zonulysis [1]
Phacoemulsification technique along with continuous curvilinear capsulorhexis and in-the-bag placement of the IOL represents the current standard of care for cataract surgery
Summary
Cataract surgeries have undergone a great evolution over a period of time. This evolution helped in reducing the overall rate of spontaneous dislocation of Intra Ocular Lens (IOL) and provide a standard management for cataracts. This spontaneous dislocation of the intra ocular lens (IOL) with intact capsular bag can be typically seen in conditions resulting from zonular insufficiency and zonulysis [1] This has usually been associated with conditions like, posterior capsular rent, post ND: YAG laser, trauma, pseudo exfoliation, myopia and other risk factors [2,3,4,5]. At the time of preliminary examination, she presented the history of both eyes being pseudo aphakic She was operated for cataract about 3-4 years back without any surgical complications and had complete visual recovery post-surgery. On further inquiry she reported negative history of any ocular trauma, foreign body, anterior or posterior ocular disease and/or any kind of stress to the eye.
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