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

• Main Authors: Kyung Tae Kang, Yu Cheol Kim
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Anterior segment parameter; pars plana vitrectomy; pentacam; silicone oil injection; Astigmatism; cataract surgery; toric lens; toric intraocular lens; Amblyopia; anisometropia; occlusion; recurrence; visual acuity; Cortical visual impairment; flash visual evoked potentials; periventricular leucomalacia; stimulation frequency in visual evoked potentials; visual evoked potentials; Cytomegalovirus retinitis; cytomegalovirus retinitis retinal detachment; cytomegalovirus; highly active antiretroviral therapy; Incidence; postnatal weight gain; retinopathy of prematurity; risk factors; weight gain proportion; Nasal incision; surgically induced astigmatism; temporal incision; Mantoux test; serpiginous choroiditis; tuberculosis; Distortion; epiretinal membrane; macular hole; metamorphopsia; morphision; Complication; phacoemulsifi cation learning curve; resident training; Choroidal metastases; lung adenocarcinoma; Spectral Domain OCT; Calcified heart valve; emboli; internal carotid artery plaque; Fusarium; keratitis; photo refractive keratectomy; Accidental myiasis; maggot; Musca domestica; ophthalmomyiasis; turpentine oil; Cataract surgery; juvenile xanthogranuloma; non-langerhans histiocytic proliferation; Delayed diagnosis; intravitreal triamcinolone injection; ocular syphilis; rapid plasma reagin test; retinal vasculitis; Dislocation; neodymium-doped yttrium aluminum garnet capsulotomy; polyfocal full-optics intraocular lens
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=11;spage=678;epage=680;aulast=Kang

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.