Case Reports

Managment of traumatic IOL dislocation with drawn up pupil

Case Report Details

First Author: H.Nasr EGYPT

Co Author(s):                        

Abstract Details

Purpose:

Dealing of a case of traumatic dislocation of IOL due to defects in lens zonules and posterior capsule rupture leading to drawn up pupil from vitreous in Anterior chamber.

Setting:

Preoperative Sonar. keratome to do corneal incision. Removal of Iol with Macferson forceps. Anterior Vitrectomy. Scleral fixation to lower haptic. Putting upper haptic to remnants of anterior capsule. Pupiloplasty using 10/0 proline sutures. Post operative topical antibiotic and Steroids.

Report of Case:

Opening the cornea with keratome 3 mm which is enlarged to 6 mm.Removal of dislocated 3 piece Acrylic IOL through catching its haptic which is entrapped at posterior capsule.Anterior vitrectomy and I/A of remnants of lens matter.Scleral fixation of lower haptic at lower sclera.Putting upper haptic at remnants of anterior capsule upward .pupilloplasty using 10/0 proline sutures. Closure of corneal incision using 10/0 Nylon sutures.

Conclusion/Take Home Message:

Proper Managment of traumatic cases to anterior segment is possible through good preoperative assessment ,introperative manouver and post operative treatment.

Financial Disclosure:

None