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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 619

Sunset intraocular lens dislocation and imprinted anterior capsule


Department of Comprehensive Ophthalmology, Sri Sankaradeva Nethralaya, Beltola, Guwahati, Assam, India

Date of Web Publication13-Apr-2022

Correspondence Address:
Mohit Garg
Sri Sankaradeva Nethralaya, Beltola, Guwahati - 781 028, Assam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2453_21

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How to cite this article:
Bhattacharjee H, Garg M, Agarwalla I. Sunset intraocular lens dislocation and imprinted anterior capsule. Indian J Ophthalmol Case Rep 2022;2:619

How to cite this URL:
Bhattacharjee H, Garg M, Agarwalla I. Sunset intraocular lens dislocation and imprinted anterior capsule. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 May 18];2:619. Available from: https://www.ijoreports.in/text.asp?2022/2/2/619/342958



A man in his forties, operated elsewhere for cataract 5 years back, presented with sudden diminution of vision. Torchlight examination revealed a jet-black pupil but the intraocular lens (IOL) margins could be seen. A slit-lamp examination revealed aphakia with dislocation of the IOL looking like a setting sun. Interestingly, the margins of the IOL were imprinted on the anterior capsule mimicking the lens on torchlight examination [Figure 1].
Figure 1: (a) Diffuse slit-lamp illumination showing jet-black pupil (aphakia) with margins of the IOL imprinted on the anterior lens capsule. (b) On retro-illumination, the subluxated IOL (star) with a sunset appearance is seen with capsulorhexis margin (black arrow) and posterior capsular rupture margin (white arrow)

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Late spontaneous posterior capsule rupture has been previously documented.[1] Imprinted anterior capsule points toward the migration of lens epithelial cells along the edges of the implant. Later metaplastic changes which inherit fibrocontractile property might be the cause of stress leading to the posterior capsular rupture.[2]

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There are no conflicts of interest.



 
  References Top

1.
Yehezkeli V, Wong JXH, Assia EI. Late spontaneous posterior capsule rupture after hydrophilic intraocular lens implantation. J Cataract Refract Surg 2021;47:311-5.  Back to cited text no. 1
    
2.
Bhattacharjee H, Bhattacharjee K, Das D, Singh M, Sukumar P, Misra DK. Pathology and immunohistochemistry of capsular bag in spontaneously late dislocated capsular bag-intraocular lens complex. Indian J Ophthalmol 2017;65:949-54.  Back to cited text no. 2
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