Dislocation of polyfocal full-optics accommodative intraocular lens after neodymium-doped yttrium aluminum garnet capsulotomy in vitrectomized eye

Indian J Ophthalmol. 2013 Nov;61(11):678-80. doi: 10.4103/0301-4738.119335.

Abstract

We report a case of dislocation of WIOL-CF® polyfocal full-optics intraocular lens (IOL) after neodymium-doped yttrium aluminum garnet (Nd: YAG) laser capsulotomy in the vitrectomized eye. At 22 months before the dislocation of the IOL, a 55-year-old male patient underwent phacoemulsification with WIOL-CF® IOL implantation in a local clinic and 10 months after the cataract surgery the patient underwent pars plana vitrectomy, endolaser photocoagulation and 14% C 3 F 8 gas tamponade for the treatment of rhegmatogenous retinal detachment. At 9 months after the vitrectomy, the patient visited our clinic for a sudden decrease of vision after Nd: YAG capsulotomy in the local clinic. On fundus examination, the dislocated IOL was identified and the Nd: YAG capsulotomy site and the larger break, which is suspected to have been a route of the dislocation were observed in the posterior capsule.

Publication types

  • Case Reports

MeSH terms

  • Accommodation, Ocular*
  • Artificial Lens Implant Migration / diagnosis
  • Artificial Lens Implant Migration / etiology*
  • Cataract / complications
  • Follow-Up Studies
  • Humans
  • Laser Therapy / adverse effects*
  • Lasers, Solid-State / therapeutic use*
  • Male
  • Middle Aged
  • Posterior Capsulotomy / adverse effects*
  • Posterior Capsulotomy / methods
  • Postoperative Complications
  • Prosthesis Design
  • Retinal Detachment / complications
  • Retinal Detachment / surgery
  • Visual Acuity
  • Vitrectomy*