Iol Dislocation; How To Manage ?
Published 2024 - 42nd Congress of the ESCRS
Reference: PO072 | Type: Case Report | DOI: 10.82333/4e9k-s892
Authors: Saoussen Chebbah* 1 , Omar Ayedi 1 , Ali Mnif 1 , Salma Gargouri 1 , Amira Trigui 1
1Ophtalmology,Habib Bourguiba teachibg hospital,Sfax,Tunisia
Purpose
To describe the surgical management and assess the visual gain afterwards scleral fixation of dislocated IOLs
Setting
Habib Bourguiba teaching Hospital - Sfax
Report of case
Case 1: a 70-year-old male who underwent cataract surgery 7 years ago consulted us for a blurred vision. Visual acuity was 2/10. Slit-lamp examination showed the presence of pseudoexfoliation syndrome and a complex bag-IOL off-center.
Case 2: a 16-year-old patient who was operated for congenital cataract in both eyes at age of two. His chief complaint was a drop of vision in the left eye. Visual acuity was 1/10. Slit-lamp examination showed a disclocated IOL in the sulcus( sun set syndrome).
Case 3: a 56-year-old male presented with a one week of sudden decreased vision and diplopia after having undergone cataract surgery two weeks ago. Visual acuity was 2/10. Slit-lamp examination revealed a dislocated IOl in the sulcus.
In these cases , the displaced IOLs were carefully fixated using McCabe Belt loop technique.
Postoperative examination revealed an improvement of the best corrected visual acuity (BCVA) which was respectively 5/10, 6/10, 5/10 and well-centred IOLs.
Conclusion/Take home message
Intraocular lens (IOL) dislocation is a rare yet significant complication following cataract surgery, which can lead to visual impairment and necessitate surgical intervention. It can occur days to years after surgery and can be due to many factors such as trauma during, complications during the original surgery, or diseases that affect the stability of the capsular bag. Understanding management options is essential for ophthalmologists to provide timely and appropriate care for affected patients.