title: Delayed dislocation of an injectable hydrophilic acrylic lens after Nd:YAG capsulotomy in anterior capsular contraction syndrome.
abstract: Posterior dislocation of IOLs has been reported following Nd:YAG laser for anterior capsule contraction in only 3 cases and these involved plate haptic silicone lenses; while the dislocation of IOLs into the vitreous cavity following posterior Nd:YAG laser capsulotomy have been reported in plate haptic silicone lenses and single piece hydrophilic acrylic (polymacon) lenses. We report a patient who suffered the delayed dislocation of an injectable hydrophilic acylic IOL (SlimFlex-m 123 IOL, PhysIOL, Liège, Belgium) following combined Nd:YAG laser anterior and posterior capsulotomy. We also explore the factors that may predispose to anterior capsular contraction syndrome and IOL dislocation.
authors.affiliation: Sussex Eye Hospital, Eastern Road, Brighton BN2 5BF, United Kingdom. fook chang@hotmail.com
authors.forename: Fook Chang
authors.initials: FC
authors.lastname: Lam
authors.forename: Iain
authors.initials: I
authors.lastname: Livingstone
authors.forename: Fraser R
authors.initials: FR
authors.lastname: Imrie
authors.forename: Sanjay
authors.initials: S
authors.lastname: Mantry
mesh_terms: D000368:Aged; D057971:Anterior Capsular Rupture, Ocular / Q000150:complications* / Q000601:surgery; D005129:Eye Foreign Bodies / Q000175:diagnosis* / Q000209:etiology*; D005548:Foreign-Body Migration / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D018918:Phacoemulsification / Q000009:adverse effects