Late Spontaneous Dislocation of a Posterior Chamber Intraocular Lens into Anterior Chamber: A Case Report

K. Jadidi, S. Mosavi
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Abstract

Introduction: Lens luxation generally happens secondary to trauma and hereditary disorders into the vitreous body. However, spontaneous dislocation especially into the anterior chamber occurs rarely. We report an unusual case with spontaneous anterior dislocation of a posterior chamber intraocular lens (IOL) 4 years after cataract surgery. Case Presentation: A 42-year-old woman was referred to ophthalmology department with complaint of sudden onset blurring of vision in the left eye 4 years after cataract surgery. No history of trauma and systemic disorder was reported and no capsular fibrosis was found during eye examination. The patient underwent corneoscleral incision under general anesthesia and the IOL was extracted using a viscoelastic material. Conclusions: To our knowledge, this is the first reported case in the literature. This report may imply that IOL related factors could be considered for spontaneous dislocation of intraocular lenses.
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晚期自发性后房人工晶状体向前房脱位1例
引言:晶状体脱位通常继发于玻璃体的创伤和遗传性疾病。然而,自发性脱位,尤其是进入前房的脱位很少发生。我们报告了一例白内障手术后4年发生的后房型人工晶状体(IOL)自发性前脱位的罕见病例。病例介绍:一名42岁的女性因白内障手术后4年左眼突然出现视力模糊而被转诊至眼科。没有外伤和系统性疾病史的报告,在眼部检查中也没有发现囊膜纤维化。患者在全身麻醉下接受了角膜巩膜切口,并使用粘弹性材料提取IOL。结论:据我们所知,这是文献中首次报道的病例。该报告可能暗示人工晶状体相关因素可被考虑用于人工晶状体的自发脱位。
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期刊介绍: The Razavi International Journal of Medicine aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and medical sciences. The Razavi International Journal of Medicine is an international, English language, peer-reviewed, open access, free access journal dealing with general Medicine and medical sciences, clinical and basic studies, public health, Disaster Medicine and Health Policy. It is an official Journal of the education and research department, Razavi Hospital and is published quarterly.
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