Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease

A 56-year-old gentleman presented with decreased vision in the right eye (OD) since 1 month and in the left eye (OS) since 1 year. He denied history of trauma. Fifteen years ago, he had undergone uneventful phaco-emulsification in both eyes (OU). Slit-lamp examination showed OU aphakia. Fundus exami...

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Main Authors: Girija Gurung, S Lakshminarayanan, R Sivasakthi, Arpita Nayak
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Kerala Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.4103/kjo.kjo_5_23
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author Girija Gurung
S Lakshminarayanan
R Sivasakthi
Arpita Nayak
author_facet Girija Gurung
S Lakshminarayanan
R Sivasakthi
Arpita Nayak
author_sort Girija Gurung
collection DOAJ
description A 56-year-old gentleman presented with decreased vision in the right eye (OD) since 1 month and in the left eye (OS) since 1 year. He denied history of trauma. Fifteen years ago, he had undergone uneventful phaco-emulsification in both eyes (OU). Slit-lamp examination showed OU aphakia. Fundus examination revealed an OU posteriorly dislocated intra-ocular lens (IOL). He underwent vitrectomy with IOL removal, followed by scleral fixated IOL placement, initially in OS, followed by OD after 1 week. At 6 weeks, he had 20/30 vision in OD and 20/40 in OS.
format Article
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institution DOAJ
issn 0976-6677
language English
publishDate 2025-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Kerala Journal of Ophthalmology
spelling doaj-art-4b0e716a7cb542d2b01d2d4ee7609ade2025-08-20T03:11:06ZengWolters Kluwer Medknow PublicationsKerala Journal of Ophthalmology0976-66772025-01-01371767810.4103/kjo.kjo_5_23Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic diseaseGirija GurungS LakshminarayananR SivasakthiArpita NayakA 56-year-old gentleman presented with decreased vision in the right eye (OD) since 1 month and in the left eye (OS) since 1 year. He denied history of trauma. Fifteen years ago, he had undergone uneventful phaco-emulsification in both eyes (OU). Slit-lamp examination showed OU aphakia. Fundus examination revealed an OU posteriorly dislocated intra-ocular lens (IOL). He underwent vitrectomy with IOL removal, followed by scleral fixated IOL placement, initially in OS, followed by OD after 1 week. At 6 weeks, he had 20/30 vision in OD and 20/40 in OS.https://journals.lww.com/10.4103/kjo.kjo_5_23dislocated intra-ocular lensphaco-emusificationscleral fixated iol
spellingShingle Girija Gurung
S Lakshminarayanan
R Sivasakthi
Arpita Nayak
Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease
Kerala Journal of Ophthalmology
dislocated intra-ocular lens
phaco-emusification
scleral fixated iol
title Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease
title_full Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease
title_fullStr Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease
title_full_unstemmed Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease
title_short Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease
title_sort double crisis a case of late bilateral consecutive spontaneous intra ocular lens dislocation in the absence of identifiable systemic disease
topic dislocated intra-ocular lens
phaco-emusification
scleral fixated iol
url https://journals.lww.com/10.4103/kjo.kjo_5_23
work_keys_str_mv AT girijagurung doublecrisisacaseoflatebilateralconsecutivespontaneousintraocularlensdislocationintheabsenceofidentifiablesystemicdisease
AT slakshminarayanan doublecrisisacaseoflatebilateralconsecutivespontaneousintraocularlensdislocationintheabsenceofidentifiablesystemicdisease
AT rsivasakthi doublecrisisacaseoflatebilateralconsecutivespontaneousintraocularlensdislocationintheabsenceofidentifiablesystemicdisease
AT arpitanayak doublecrisisacaseoflatebilateralconsecutivespontaneousintraocularlensdislocationintheabsenceofidentifiablesystemicdisease