Intraocular Lens Dislocation after Cataract Surgery in Tambolaka, Southwest Sumba, Indonesia: A Case Report

Abstract

Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.

Incidence of re-surgery after manual small-incision cataract surgery at a tertiary eye-care center in South India

“…[ 6 ] The incidence of IOL dislocation within the first week after operation is 0.2–2.8%. [ 5 ] However, in our study, 36.04% of re-surgeries were for IOL repositioning, that is, 0.6% of total MSICS performed. Our results were consistent with a study by Greenberg et al ,[ 12 ] in which 0.9% of patients presented with IOL dislocation or underwent IOL exchange in a 90-day postoperative period.…”

“…IOL dislocation is one of the complications after cataract surgery that may occur after a few days to months. [ 5 ] Repositioning a dislocated PCIOL is the preferred option for many surgeons in achieving optimal visual recovery for the patient. [ 6 ] The incidence of IOL dislocation within the first week after operation is 0.2–2.8%.…”

“…The incidence of IOL dislocation within the first week after operation is 0.2–2.8%. [ 5 ] Repositioning a dislocated posterior chamber IOL (PCIOL) is the preferred option for many surgeons in achieving optimal visual recovery for the patient. Repositioning the PCIOL in the ciliary sulcus allows the dislocated PCIOL to be restored to a position closest to its original fit[ 6 ]…”

Repeated intraocular lens dislocation followed by haptic deformation and loss of tension: a case report

“…Intraocular lens (IOL)dislocation is one of the complications after cataract extraction with intraocular lens implantation. Although occurring rarely, it seriously affects the vision of patients 4 . A recent observational study showed that the cumulative IOL dislocation risk at 5,10,15,20,and 25 years after cataract extraction was 0.1%,0.1%,0.2%,0.7%,and 1.7%, respectively 5 .…”