title: Spontaneous dislocation of a phakic refractive lens into the vitreous cavity.
abstract: A 36-year-old woman with high myopia had uneventful implantation of a phakic refractive lens (PRL) bilaterally. Two months postoperatively, the best corrected visual acuity (BCVA) in the right eye decreased to the preoperative level and the posterior chamber PRL disappeared from the anterior segment and was found lying in the vitreous cavity inferiorly. After lensectomy and pars plana vitrectomy, the PRL was removed through the initial clear corneal incision, improving the BCVA to 1.0. A zonular defect associated with high myopia, previously forgotten and unrecognized ocular trauma, or intraoperative manipulations may have resulted in the spontaneous dislocation of the PRL.
authors.affiliation: Clinica Baviera, Valencia, Spain. h.eleftheriadis@btinternet.com
authors.forename: Haralabos
authors.initials: H
authors.lastname: Eleftheriadis
authors.forename: Sonia
authors.initials: S
authors.lastname: Amoros
authors.forename: Rafael
authors.initials: R
authors.lastname: Bilbao
authors.forename: Maria-Angeles
authors.initials: MA
authors.lastname: Teijeiro
mesh_terms: D000328:Adult; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D009216:Myopia / Q000601:surgery; D011183:Postoperative Complications; D011475:Prosthesis Failure; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology*