3 Cases of Intraocular Lens Dislocations and their Management.

Moon, Nam Ju; Shyn, Kyung Hwan

Case Report

Journal of the Korean Ophthalmological Society 1988;29(4):681-687.
Published online April 1, 1988.

3 Cases of Intraocular Lens Dislocations and their Management.

Nam Ju Moon, Kyung Hwan Shyn

Department of Ophthalmology, Chung Ang University School of Medicine, Seoul, Korea.

인공수정체 탈구 3 예의 임상경험과 치료에 관하여

문남주(Nam Ju Moon),신경환(Kyung Hwan Shyn)

Abstract

Recently we have experienced 3 cases of IOL dislocations. There are 2 cases of PCL and a case of iridocapsular lens. In case 1 and 2, they received ECCE and PCL implantations and had managed well good visual acuity before the dislocation of the IOL had occurred. In case 1, he gained good vision by replacing with ACL but in case 2, he lost his vision due to secondary glaucoma with optic nerve atrophy which did not seem to be related directly with PCL dislocation. In case 3, the patient had received iridocapsular lens implantation 7 years ago and had three times of episodes of subluxation of his IOL. Last September he had another episode of subluxation of IOL loop inferiorly. The medical therapy of the reposition of IOL was failed and IOL was removed and replaced by ACL. Now he lost his vision due to bullous keratopathy as a result of repeated episodes of endothelial touch. The three cases of this report remind us that the patient can restore good vision if he or she visit to the ophthalmologist as immediately as possible when the blurred vision has developed as prodromal symptom of dislocation of IOL.