A case of intraocular lens dislocation with anterior capsule contraction. Yuka Nidegawa 1 , Takeshi Miyamoto 1 , Nobuyuki Ishikawa 1 , Shizuya Saika 1 1Department of Ophthalmology, Wakayama Medical University pp.1265-1269
Published Date 2016/8/15
DOI https://doi.org/10.11477/mf.1410211915
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Abstract Purpose: To report a case of intraocular lens dislocation with anterior capsule contraction.

Cases: A 64-year-old woman received laser iridotomy for acute closed-angle glaucoma in the left eye. She received cataract surgery 3 months later with phacoemulsification-aspiration and intraocular lens(IOL)implantation. The eye showed IOL dislocation with torsional deformation of the haptic one month later. The eye was treated by IOL extraction followed by scleral fixation of another IOL 4 months later. The removed specimen showed presence of myofibroblasts in the subcapsular tissue by immunohistological studies. The final visual acuity was 0.5 due to corneal edema.

Conclusion: Zonular instability following acute closed-angle glaucoma may have resulted in IOL dislocation. Acrylic single-piece IOL is to be avoided due to eventual torsional deformation of the haptic. Use of capsular ring is expected to reduce the risk of IOL dislocation.

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