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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 618

Posterior dislocated intraocular lens: Intraoperative optical coherence tomography


1 Department of Ophthalmology, University College of Medical Sciences, Delhi, India
2 Department of Ophthalmology, All India Institute of Medical Sciences, Bhubaneswar, India
3 Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Ramandeep Singh
Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1231_21

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How to cite this article:
Singh A, Moharana B, Singh R. Posterior dislocated intraocular lens: Intraoperative optical coherence tomography. Indian J Ophthalmol Case Rep 2022;2:618

How to cite this URL:
Singh A, Moharana B, Singh R. Posterior dislocated intraocular lens: Intraoperative optical coherence tomography. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 24];2:618. Available from: https://www.ijoreports.in/text.asp?2022/2/2/618/342874



A 3-year-old boy with a history of undergoing phaco-aspiration with three-piece intraocular lens (IOL) implantation in sulcus for the post-traumatic subluxated crystalline lens, presented with posteriorly dislocated IOL and macular scar [Figure 1]a. Pars plana vitrectomy was planned for IOL removal. Intraoperatively, microscope-integrated optical coherence tomography (MIOCT) was done to document the foveal scar. MIOCT through the dislocated IOL revealed the hyperreflective anterior asymmetric biconvex structure of IOL with Polymethyl methacrylate (PMMA) haptic insertion seen as round hyperreflective dots inside appearing as a “flying saucer” over the retina with epiretinal membrane and macular thinning seen below the IOL [Figure 1]b. MIOCT is a useful tool while tackling posterior segment pathologies, intraoperatively[1],[2],[3]
Figure 1: Intraoperative posterior segment photograph (a) showing posteriorly dislocated IOL with macular scar; Microscopic integrated coherence tomography [line scan accusation protocol] images (b) revealed the hyperreflective anterior asymmetric biconvex structure of dislocated IOL with PMMA haptic insertion seen as round hyperreflective dots inside the IOL [lower image] with macular thinning and epiretinal membrane seen below the lens

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Ray R, Baranano DE, Fortun JA, Schwent BJ, Cribbs BE, Bergstrom CS, et al. Intraoperative microscope-mounted spectral domain optical coherence tomography for evaluation of retinal anatomy during macular surgery. Ophthalmology 2011;118:2212-7.  Back to cited text no. 1
    
2.
Runkle A, Srivastava SK, Ehlers JP. Microscope-integrated OCT feasibility and utility with the EnFocus system in the DISCOVER study. Ophthalmic Surg Lasers Imaging Retina 2017;48:216-22.  Back to cited text no. 2
    
3.
Ehlers JP, Modi YS, Pecen PE, Goshe J, Dupps WJ, Rachitskaya A, et al. The DISCOVER Study 3-year results: Feasibility and usefulness of microscope-integrated intraoperative OCT during ophthalmic surgery. Ophthalmology 2018;125:1014-27.  Back to cited text no. 3
    


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