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Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation
Published on: July 7, 2023
Manejo de dislocaciones secuenciales de lentes intraoculares en un solo ojo tras cirugía de cataratas complicada
Jacqueline Ying Liew1, Pui Theng Yong2, Angela Voon Pei Loo3
1School of Medicine, IMU University, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia.
Abstract:
Dislocation of the intraocular lens after cataract surgery is uncommon but can cause a serious complication. We present a rare case of a patient with a dislocated posterior chamber intraocular lens and subluxated anterior chamber intraocular lens in the same eye, including its management, complications, and visual outcomes. A 65-year-old man with a history of cataract surgeries was found to have two displaced intraocular lenses in one eye, one subluxated within the anterior chamber and another dislocated into the vitreous cavity. Surgical procedures were performed to remove both displaced intraocular lenses, followed by the management of postoperative complications. After removal of intraocular lens implants via pars plana vitrectomy and insertion of scleral-fixated intraocular lens, the patient developed postoperative cystoid macular edema and epiretinal membrane. Subtenon triamcinolone acetonide injection partially resolved the cystoid macular edema, and the visual outcome was satisfactory. Understanding this case may aid in surgical planning and facilitate effective postoperative management of complications, ultimately leading to an optimal visual outcome.
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