Scleral fixation of a posterior chamber intraocular lens in a patient with two dislocated lens implants.
OBJECTIVE
To report the clinical findings and management of a case of two consecutive intraocular lenses (IOLs) dislocated into the vitreous cavity after complicated cataract surgery.


METHODS
Review of clinical findings and treatment.


RESULTS
A 69-year-old man sought treatment for posterior chamber IOL dislocation. The patient reported a significant loss of visual acuity in the right eye for 4 months (best-corrected visual acuity (BCVA) 20/200 in the affected eye). In the vitreous cavity two dislocated IOLs were found, complicated by a cystoid macula edema. Surgery was planned and the two IOLs were removed from the vitreous cavity. Aphakia was then corrected by means of a scleral fixated posterior chamber lens. Three months after surgery, BCVA was 20/40.


CONCLUSIONS
In the absence of randomized controlled clinical trials evaluating treatment options, preoperative patient work-up should be as accurate as possible in order to reduce the risk of intraoperative and postoperative complications. In this patient, removing the two IOLs and placing a sutured-fixated posterior chamber IOL allowed resolution of the cystoid macular edema.
Cavallini
G M
GM
Institute of Ophthalmology, Department of Neuroscience, University of Modena and Reggio Emilia, Modena, Italy. cavallini.gianmaria@unimo.it
Pagliani
L
L
Campi
L
L
Lugli
N
N
Saccarola
P
P
Volante
V
V
D000368:Aged; D001036:Aphakia, Postcataract / Q000601:surgery*; D002387:Cataract Extraction / Q000009:adverse effects; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000601:surgery*; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods