Sub-conjunctival dislocation of posterior chamber intra-ocular lens: five years after manual, small-incision cataract surgery

  • Rajesh Subhash Joshi Department of Ophthalmology, Vasatrao Naik Government Medical College, Yavatmal
Keywords: Wound strength, scleral tunnel, dislocation, intraocular lens, small-incision cataract surgery

Abstract

Introduction: Ocular trauma can cause serious complications in eyes operated for cataract.

Case: A 70-year- old lady had sustained blunt trauma to the left lower lid which resulted in a sub-conjunctival dislocation of the posterior chamber intraocular lens (PCIOL). The patient had undergone an uneventful manual, small-incision, sutureless cataract surgery with implantation of a PCIOL for senile cataract five years ago in the same eye. She had no ocular or systemic predisposing factors for wound dehiscence. Surgical exploration revealed a scleral rupture 7 mm in length, 2 mm behind the limbus at the 12’O clock position along the surgically-constructed wound. However, the scleral tunnel was not damaged. The PCIOL was removed. Wound closure was done to avoid infection of the intraocular structures. Her best-corrected visual acuity was 20/60 at the three months’ follow-up.

Conclusion: Surgeons should be aware of such complications occurring due to trauma. We recommend suturing of the scleral wound to strengthen it in cases of a deep scleral groove or when there is a possibility of a premature entry of the wound into the anterior chamber.

DOI: http://dx.doi.org/10.3126/nepjoph.v6i1.10777  

Nepal J Ophthalmol 2014; 6 (2): 91-94

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Abstract
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Published
2014-07-22
How to Cite
Joshi, R. (2014). Sub-conjunctival dislocation of posterior chamber intra-ocular lens: five years after manual, small-incision cataract surgery. Nepalese Journal of Ophthalmology, 6(1), 91-94. https://doi.org/10.3126/nepjoph.v6i1.10777
Section
Case Reports