Spontaneous, late, in-the-bag intraocular lens subluxation in a patient with a previous acute angle-closure glaucoma attack.
Cataract surgery was performed in a 49-year-old woman 16 months after an acute angle-closure glaucoma attack. Zonular dialysis was observed during surgery, but the intraocular lens (IOL) was implanted in the capsular bag uneventfully. At 4 1/2 months, 1 IOL loop wrapped in the bag herniated into the anterior chamber. The patient had no history of trauma. The IOL loop remained in the anterior chamber for 9 months, until the subluxated IOL spontaneously returned to its original position. Six months later, the IOL again dislocated into the anterior chamber.
Department of Ophthalmology, Chang-Gung Memorial Hospital, 5 Fu-Hsing Street, Kwei-Shan, Tao-Yuan 333, Taiwan.
Wei-Wen
WW
Su
Shirley H L
SH
Chang
D000208:Acute Disease; D000867:Anterior Chamber / Q000473:pathology*; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000503:physiopathology; D015812:Glaucoma, Angle-Closure / Q000150:complications*; D006547:Hernia; D006801:Humans; D007429:Intraocular Pressure; D007903:Lens Capsule, Crystalline / Q000601:surgery; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications