Spontaneous dislocation of lens bag with acrylic lens after uneventful cataract surgery - unusual complication of cataract surgery.
BACKGROUND
Spontaneous dislocation of intraocular lens with bag is rare.


METHODS
We report a case of a 56-year-old male who presented with spontaneous anterior dislocation of an in-the-bag intraocular lens 3 years after manual small incision cataract surgery. He had undergone manual small incision cataract surgery with foldable acrylic intraocular lens implantation, and 18 months after cataract surgery ND: YAG capsulotomy with uneventful post capsulotomy follow-up. 17 months after capsulotomy, the patient presented with sudden decrease of vision. On anterior segment examination, the intraocular lens with bag was dislocated into the anterior chamber.


RESULTS
It was managed with intraocular lens explantation with bag, anterior vitrectomy and sclera fixated intraocular lens.


CONCLUSIONS
Spontaneous intraocular lens dislocation with bag is possible after 1.5 years of uneventful surgery which may be managed using different techniques.
Drashti Netralaya, Dahod, Gujarat, India.
Mehul A
MA
Shah
Drashti Netralaya, Dahod, Gujarat, India.
Shreya M
SM
Shah
Drashti Netralaya, Dahod, Gujarat, India.
Ruchir
R
Mehta
Drashti Netralaya, Dahod, Gujarat, India.
Prerna
P
Shah
Nd: YAG capsulotomy; intraocular lens dislocation; lens bag dislocation