An Unusual Case of Opacified Intraocular Lens Exchange After 50 Months: A Case Report

A 65-year-old male presented with decreased vision (20/200) from the past nine months after having undergone cataract surgery (phacoemulsification) four years ago. Anterior segment examination revealed diffusely opacified intraocular lens, and he was diagnosed as a case of delayed intraocular lens (IOL) opacification. IOL lens exchange surgery was planned. A per-operative assessment revealed significant fibrosis of IOL with the capsule. Viscoelastic was used for viscodissection, and the IOL was mobilized and removed. Capsular integrity was ensured and achieved, and a new foldable IOL was implanted in the bag. Best-corrected visual acuity (BCVA) after the surgery improved to 20/20. Here, we discuss different IOL exchange techniques and report our successful viscodissection despite significant fibrosis and the time interval of four years since the initial implant.