Vascular occlusion in a patient with posteriorly dislocated double IOL

Abstract

Age and uncontrolled hypertension are well established risk factors for retinal vascular occlusion. IOL (intraocular lens) implantation following intraoperative posterior capsule rupture has an increased risk of IOL dislocation in the posterior segment. We came across a case of infero-temporal branched retinal vein occlusion followed by a direct injury by a mobile IOL which was posteriorly dislocated. The patient also had one another posteriorly dislocated IOL which was stuck in the anterior vitreous. This case highlights the need for the urgent removal of a posteriorly dislocated mobile IOL, which should precede the placement of a secondary IOL to avoid ocular complications.