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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 1005

Double dislocation of intraocular lens


Vitreo-Retina Consultant, Drishtipunj Eye Hospital, Patna, Bihar, India

Date of Web Publication11-Oct-2022

Correspondence Address:
Dr. Bholesh Ratna
Drishtipunj Eye Hospital, Vasikunj Apartment, Near RPS More, Saguna More, Bailey Road, Patna – 801 503, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1263_22

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How to cite this article:
Ratna B, Tiwary S. Double dislocation of intraocular lens. Indian J Ophthalmol Case Rep 2022;2:1005

How to cite this URL:
Ratna B, Tiwary S. Double dislocation of intraocular lens. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Nov 27];2:1005. Available from: https://www.ijoreports.in/text.asp?2022/2/4/1005/358149



A 65-year-old male patient presented with nonimprovement of vision after cataract surgery. On examination, anterior segment showed aphakia and two rigid polymethylmethacrylate intraocular lenses (IOLs) inside vitreous cavity lying on retina [Figure 1]. The patient underwent pars plana vitrectomy, IOLs explantation with scleral fixation of IOL.[1],[2]
Figure 1: Image Showing two intraocular PMMA rigid lenses lying on retina

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Such cases have been reported where even after dislocation of one IOL intraoperatively, another IOL implantation was attempted. Such attempts should be avoided. Even with successful implantation of one IOL, already posteriorly dislocated IOL needs to be removed. Such dislocated IOLs are removed through anterior segment which needs explantation of second IOL too.[3] So to avoid unnecessary surgical burden, such practice of second IOL implantation after one IOL dislocation should not be done.

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 The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.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.
Yepez J, Prall FR, Arevalo JF, de Yepez J, Contreras F, Matheus E. Management of two dislocated posterior chamber lenses in eyes with pseudoexfoliation. Br J Ophthalmol 2006;90:917-8.  Back to cited text no. 1
    
2.
Emanuelli A, Smiddy WE. Management of 2 intraocular lenses in the same eye. JAMA Ophthalmol 2013;131:86–7.  Back to cited text no. 2
    
3.
Turgut B, Can N, Demir T, Aydemir O. Double intraocular lens: Dislocated one into vitreous and implanted one into posterior chamber. Int J Ophthalmic Pathol 2013;2:2.  Back to cited text no. 3
    


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