title: Spontaneous late in-the-bag intraocular lens dislocation after can-opener capsulotomy: case report.
abstract: We report a case of a 58-year-old man presenting with a spontaneous and late in-the-bag intraocular lens dislocation to the vitreous. A previous uneventful extracapsular cataract extraction with can-opener style capsulotomy and implantation of a polymethylmethacrylate three-piece lens was performed and, two years after the surgery, the patient developed capsule contraction syndrome with a fibrotic ring formation and dislocation of the intraocular lens. Although uncommon and related mainly to continuous curvilinear capsulorhexis, capsule contraction syndrome occurs in patients undergoing extracapsular cataract surgery with can-opener style and polymethylmethacrylate lens implantation, and can be the causative factor of intraocular lens dislocation.
authors.affiliation: Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Av. Bandeirantes 3900, CEP 14049-900 Ribeirão Preto, SP. rpcoelho@keynet.com.br
authors.forename: Roberto Pinto
authors.initials: RP
authors.lastname: Coelho
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Zanatto
authors.forename: Jayter Silva de
authors.initials: JS
authors.lastname: Paula
authors.forename: Erasmo
authors.initials: E
authors.lastname: Romão
mesh_terms: D019923:Capsulorhexis / Q000009:adverse effects*; D017889:Exfoliation Syndrome / Q000209:etiology*; D006801:Humans; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged