Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Bilateral luxation of the intraocular lens: capsular bag complex in a patient with pigmentary retinopathy

Poster Details

First Author: M. Santos PORTUGAL

Co Author(s):    J. Castro Sousa   M. Castro   C. Fernandes   P. Alfaiate   L. Violante        

Abstract Details


To report an unusual case of bilateral luxation of the intraocular lens (IOL) – capsular bag complex in a 57-year-old woman with pigmentary retinopathy (PR), after a fall.


Department of Ophthalmology, Centro Hospitalar de Leiria, Leiria, Portugal.


Clinical case report of a 57-year-old woman with PR, who was referred to our department due to decreased vision after a fall without direct eye trauma. She underwent phacoemulsification in both eyes with in-the-bag single piece acrylic foldable IOL implantation eight years back.


The best corrected visual acuity (BCVA) was counting fingers at 50 cm in the right eye (RE) and light perception in the left eye (LE). Ophthalmologic examination showed iridodonesis and a complete luxation of IOL - capsular bag complex bilaterally. The IOL - capsular bag complex was explanted and exchanged with an iris-fixated anterior chamber polymethylmethacrylate IOL through a limbal incision, combined with a pars plana 27-gauge anterior vitrectomy. Vision improved in both eyes following surgery, without any associated ocular morbidity.


The luxation of the IOL – capsular bag complex, sometimes bilateral, is a late complication of cataract surgery that can be managed by IOLs exchange. The replacement with an anterior chamber IOL is a safe and effective treatment option, held in the present case. We believe that zonular weakness secondary to PR was the predisposing factor in this case.

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