title: Scleral fixation of a posterior chamber intraocular lens in a patient with two dislocated lens implants.
abstract: 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.
authors.affiliation: Institute of Ophthalmology, Department of Neuroscience, University of Modena and Reggio Emilia, Modena, Italy. cavallini.gianmaria@unimo.it
authors.forename: G M
authors.initials: GM
authors.lastname: Cavallini
authors.forename: L
authors.initials: L
authors.lastname: Pagliani
authors.forename: L
authors.initials: L
authors.lastname: Campi
authors.forename: N
authors.initials: N
authors.lastname: Lugli
authors.forename: P
authors.initials: P
authors.lastname: Saccarola
authors.forename: V
authors.initials: V
authors.lastname: Volante
mesh_terms: 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