Late Spontaneous Dislocation of a Posterior Chamber Intraocular Lens into Anterior Chamber: A Case Report

Authors

1 Department of Ophthalmology, Bina Eye Hospital Research Center, Tehran, Iran

2 Department of Ophthalmology, Baqiyatallah University of Medical Sciences, Tehran, Iran

Abstract

Abstract Introduction: Lens luxation generally happens secondary to trauma and hereditary disorders into the vitreous body. However, spontaneous dislocation especially into the anterior chamber occurs rarely. We report an unusual case with spontaneous anterior dislocation of a posterior chamber intraocular lens (IOL) 4 years after cataract surgery. Case Presentation: A 42-year-old woman was referred to ophthalmology department with complaint of sudden onset blurring of vision in the left eye 4 years after cataract surgery. No history of trauma and systemic disorder was reported and no capsular fibrosis was found during eye examination. The patient underwent corneoscleral incision under general anesthesia and the IOL was extracted using a viscoelastic material. Conclusions: To our knowledge, this is the first reported case in the literature. This report may imply that IOL related factors could be considered for spontaneous dislocation of intraocular lenses.

Keywords

References

  1. 1.Kawashima M, Kawakita T, Shimazaki J. Complete spontaneous crystalline lens dislocation into the anterior chamber with severe corneal endothelial cell loss. Cornea. 2007;26(4):487–9. doi: 10.1097/ICO.0b013e3180303ae7. [PubMed: 17457202].

    1. Choi DY, Kim JG, Song BJ. Surgical management of crystalline lens dislocation into the anterior chamber with corneal touch and secondary glaucoma. J Cataract Refract Surg. 2004;30(3):718–21. doi: 10.1016/j.jcrs.2003.07.012. [PubMed: 15050275].
    2. Netland KE, Martinez J, LaCour O3, Netland PA. Traumatic anterior lens dislocation: a case report. J Emerg Med. 1999;17(4):637–9. [PubMed: 10431953].
    3. Jaffe NS, Jaffe MS, Jaffe GF. Cataract surgery and its complications. 6th ed. Mosby St. Louis; 1997. 5. Cionni RJ. Cataract Surgery: Technique, Complications, and Management. Philadelphia: Saunders; 2004. pp. 305–13.Surgical management of the congenitally subluxated crystalline lens using the modified capsular tension ring.
    4. Pop R. [Spontaneous luxation of the crystalline lens into the anterior chamber (a clinical case report)]. Oftalmologia. 1992;36(1):61–3. [PubMed: 1520672]. 2 Razavi Int J Med. 2017; 5(2):e42755. Jadidi K and Mosavi SA
    5. Marcantonio JM, Rakic JM, Vrensen GF, Duncan G. Lens cell populations studied in human donor capsular bags with implanted intraocular lenses. Invest Ophthalmol Vis Sci. 2000;41(5):1130–41. [PubMed: 10752951].
    6. Davison JA. Capsule contraction syndrome. J Cataract Refract Surg. 1993;19(5):582–9. doi: 10.1016/S0886-3350(13)80004-1. [PubMed: 8229711].
    7. Jin-Poi T, Shatriah I, Khairy-Shamel ST, Zunaina E. Rapid anterior capsular contraction after phacoemulsification surgery in a patient with retinitis pigmentosa. Clin Ophthalmol. 2013;7:839–42. doi: 10.2147/OPTH.S42122. [PubMed: 23674886].
    8. Joo CK, Shin JA, Kim JH. Capsular opening contraction after continuous curvilinear capsulorhexis and intraocular lens implantation. J Cataract Refract Surg. 1996;22(5):585–90. doi: 10.1016/S0886- 3350(96)80014-9. [PubMed: 8784631].
    9. Peyman GA, RaichandM, GoldbergMF, Ritacca D.Management of subluxated and dislocated lenses with the vitrophage. Br J Ophthalmol. 1979;63(11):771–8. doi: 10.1136/bjo.63.11.771. [PubMed: 315794].

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