Recurrent suprachoroidal dislocation of an anterior chamber intraocular lens.
We present a patient with a history of posterior chamber intraocular lens (PC IOL) implantation and trabeculotomy 9 years previously who recently had IOL exchange for an angle-based anterior chamber IOL. Twenty-four hours after the exchange, he was referred to us with hypotony and "loss" of the IOL. Ultrasound revealed a rigid choroidal detachment and echoes suggestive of a suprachoroidally dislocated IOL. Anterior vitrectomy and resuturing of the incision were performed. Subsequently, the IOL repeatedly migrated in and out of the suprachoroidal space, allowing atraumatic removal. Angle-based IOL implementation should be avoided in eyes with a history of trabeculotomy or cyclodialysis.
Department of Ophthalmology, RWTH Aachen University, Aachen, Germany. mhermel@ukaachen.de
Martin
M
Hermel
Anke
A
Weber
Andreas
A
Remky
D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000601:surgery*; D015862:Choroid Diseases / Q000000981:diagnostic imaging*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods; D007910:Lenses, Intraocular; D008297:Male; D012008:Recurrence; D014463:Ultrasonography; D014821:Vitrectomy