Posterior chamber intraocular lens dislocation with the bag.
We report a rare case of a 46-year-old man presenting with a luxation of a posterior chamber intraocular lens (IOL) with the capsular bag after ocular contusion. Preoperative axial length was 36.58 mm. After trauma, pars plana extraction of the dislocated IOL inside the capsular bag was performed using a forceps. Capsular fibrosis had probably weakened the zonules, which were ruptured by the trauma. This observation confirms the necessity of a large continuous curvilinear capsulotomy and meticulous cleaning of the anterior and posterior capsules to minimize postsurgical fibrosis and capsule contraction.
Zech
J C
JC
Service d'Ophtalmologie, Hôpital Edouard Herriot, Université Claude Bernard Lyon I, France.
Tanniére
P
P
Denis
P
P
Trepsat
C
C
D003288:Contusions / Q000150:complications* / Q000601:surgery; D005131:Eye Injuries / Q000150:complications* / Q000601:surgery; D005355:Fibrosis; D005548:Foreign-Body Migration / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000473:pathology*; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008022:Ligaments / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification