Recurrent Intraocular Lens Dislocation in a Patient with Familial Ectopia Lentis.

Abstract

A 36-year-old patient presented to the hospital with recurrent dislocation of the intraocular lens (IOL). The patient with the diagnosis of familial ectopia lentis was first operated on for crystalline lens subluxation in the left eye in 2007 and in the right eye in 2009. In both eyes, lens extraction with anterior vitrectomy and transscleral fixation of a rigid IOL was performed. In 2011, the IOL in the right eye luxated into the vitreous cavity due to ocular trauma. The patient underwent a pars plana vitrectomy with the IOL resuturation to the sclera. Seven years later, a spontaneous vision loss in the right eye was caused by a retinal detachment. The pars plana vitrectomy with silicone oil tamponade and a consequential oil removal three months later were performed in 2018. The follow-up examination revealed recurrent IOL dislocation in the same eye. Due to a history of previous suture-related complications a decision was made to remove the subluxated rigid polymethyl-methacrylate (PMMA) IOL and fixate to sclera a sutureless SOLEKO FIL SSF Carlevale lens. The purpose of this report is to present a single case of a 36-year-old patient who was presented to the hospital with recurrent dislocation of the intraocular lens. In a three-month follow-up period, a good anatomical and functional outcome was finally obtained with transscleral sutureless intraocular lens. This lens is an option worth considering especially in a young patient with a long life expectancy and physically active.

• Authors: Tomasz K Wilczyński, Alfred Niewiem, Rafał Leszczyński, Katarzyna Michalska-Małecka
• Journal: International journal of environmental research and public health (Int J Environ Res Public Health) Vol. 18 Issue 9 (04 25 2021) ISSN: 1660-4601 [Electronic] Switzerland
• PMID: 33922930 (Publication Type: Case Reports)

Topics

• Adult
• Ectopia Lentis
• Humans
• Lens Implantation, Intraocular
• Lens Subluxation (etiology, surgery)
• Retrospective Studies
• Suture Techniques
• Visual Acuity