The popped-out intraocular lens: A case of posterior chamber intraocular lens extrusion

Abstract

A 70-year-old female with uncontrolled diabetes mellitus presented with complaints of defective vision in the left eye for 3 weeks. History revealed vigorous rubbing of LE followed by defective vision and use of self-prescribed antibiotic drops without ophthalmic consultation. The patient denied any history of trauma. She had undergone cataract surgery with posterior chamber intraocular lens (PCIOL) implantation 6 years back. Examination revealed poor ocular hygiene, blepharitis, and transcorneal extrusion of the PCIOL. The IOL was removed under strict aseptic conditions under antibiotic cover. Social neglect, repeated eye rubbing due to blepharitis and uncontrolled diabetes could have been the underlying cause for the painless extrusion of the PCIOL. Uncontrolled diabetes mellitus leads to corneal neuropathy characterized by decreased corneal sensitivity, recurrent erosions, corneal ulceration, and melting. This case signifies the importance of maintaining proper ocular hygiene, strict control of diabetes mellitus, and the use of appropriate ocular medications.