Intraocular Lens Subluxation following Micropulse Transscleral Cyclophotocoagulation

We present a case of intraocular lens (IOL) subluxation following micropulse transscleral cyclophotocoagulation (MP-TSCPC) procedure for glaucoma that is resistant to medical therapy. A 71-year-old male presented to his routine glaucoma follow-up appointment and was found to have medically uncontrolled intraocular pressure (IOP) in the right eye. Throughout his visits, the IOP ranged between 26 and 35 mmHg. The IOL was in position without the presence of pseudoexfoliation, and the cup-disc ratio was 0.8 in the right eye. The patient was treated with MP-TSCPC and no immediate complaints or complications were noted post-procedure. However, 5 weeks postoperatively, he presented with IOL subluxation. MP-TSCPC is becoming a popular choice of treatment in lowering IOP. To the best of our knowledge, IOL subluxation has not been reported as a complication. Since the procedure is relatively new, further long-term research is warranted to determine the possible effects and complications.