Bilateral spontaneous anterior dislocation of intraocular lens with the capsular bag in a patient with pseudoexfoliation.
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Date
2015-10
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Abstract
We report a rare case of bilateral spontaneous anterior
partial in‑the‑bag intraocular lens (IOL) dislocation in a
75‑year‑old man with pseudoexfoliation (PXF). He underwent
uneventful phacoemulsification in both eyes with in‑the‑bag
IOL implantation 9 years back. In the right eye, single piece
poly (methyl methacrylate) (PMMA) IOL (+19 D) and in the left
eye, single piece acrylic foldable IOL (+19 D) were implanted. An
attempt at pharmacological IOL repositioning was unsuccessful.
The dislocated IOLs were explanted and exchanged with scleral
suture fixated PMMA IOLs. Vision improved to 20/30 in both
eyes following surgery, without any associated ocular morbidity.
We believe that zonular weakness secondary to PXF, capsular
contraction, and myopia together were the predisposing factors
for partial anterior dislocation of IOLs and IOL exchange with
scleral suture fixation of IOL is a safe and effective treatment
option.
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Keywords
Spontaneous bilateral anterior dislocation of intraocular lens, pseudoexfoliation, pseudophakia
Citation
Bhattacharjee Harsha, Saxena Rushil Kumar, Medhi Jnanankar. Bilateral spontaneous anterior dislocation of intraocular lens with the capsular bag in a patient with pseudoexfoliation. Indian Journal of Ophthalmology. 2015 Oct; 63(10): 796-798.