Delayed dislocation of an injectable hydrophilic acrylic lens after Nd:YAG capsulotomy in anterior capsular contraction syndrome

Cont Lens Anterior Eye. 2011 Aug;34(4):193-5. doi: 10.1016/j.clae.2011.03.003. Epub 2011 Apr 20.

Abstract

Posterior dislocation of IOLs has been reported following Nd:YAG laser for anterior capsule contraction in only 3 cases and these involved plate haptic silicone lenses; while the dislocation of IOLs into the vitreous cavity following posterior Nd:YAG laser capsulotomy have been reported in plate haptic silicone lenses and single piece hydrophilic acrylic (polymacon) lenses. We report a patient who suffered the delayed dislocation of an injectable hydrophilic acylic IOL (SlimFlex-m 123 IOL, PhysIOL, Liège, Belgium) following combined Nd:YAG laser anterior and posterior capsulotomy. We also explore the factors that may predispose to anterior capsular contraction syndrome and IOL dislocation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anterior Capsular Rupture, Ocular / complications*
  • Anterior Capsular Rupture, Ocular / surgery
  • Eye Foreign Bodies / diagnosis*
  • Eye Foreign Bodies / etiology*
  • Foreign-Body Migration / diagnosis*
  • Foreign-Body Migration / etiology*
  • Humans
  • Laser Therapy / adverse effects*
  • Lenses, Intraocular / adverse effects*
  • Male
  • Phacoemulsification / adverse effects