Posters

The challenges of a dislocated intraocular lens

Poster Details

First Author: H.Oliphant UK

Co Author(s):    A. Hassan   S. Nadarajah           

Abstract Details

Purpose:

Here we describe two separate cases of dislocated intraocular lens, and subsequent management. The purpose of this poster is to demonstrate that firstly, dislocated intraocular lens can be dealt with by combined vitreo-retinal management, and also that this management can have subsequent complications, which can be dealt with successfully.

Setting:

This case is described in the hospital setting, in the United Kingdom

Methods:

The two described patients both developed dislocated posterior chamber intraocular lens into the vitreous. Both of these patients were managed with vitrectomy and insertion of anterior chamber intraocular lens (ACIOL), but both developed very different complications. The first described patient developed an intraocular pressure increase to 55mmHg, which was resistant to standard treatment, and the second patient developed massive suprachoroidal haemrroage following ACIOL insertion.

Results:

The first patient we describe developed a pressure rise associated with hyphaema following ACIOL insertion. This was resistant to standard treatment with acetazolamide, topical antihypertensives, and intravenous mannitol treatment. In this case an anterior chamber washout was required to achieve satisfactory intraocular pressure. A subsequent vision of 6/9 was achieved. The second described case involves the development of massive suprachoroidal haemorrhage following ACIOL insertion, which required surgical release. A subsequent vision of 6/18 was achieved.

Conclusions:

This poster demonstrates the disparity in complications that a dislocated IOL (and it's subsequent management) can produce. These are both challenging complications, and we feel the description of these complications will be beneficial to colleagues in managing a dislocated posterior chamber lens. FINANCIAL INTEREST: NONE