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Case Studies » Dropped Lens
DROPPED LENS
Case 1 A 58 year old gentleman had
undergone cataract surgery (Phacoemulsification) in the right
eye for cataract but during surgery there was a tear in the posterior
capsule of the lens which led to the falling of some pieces of lens
matter back into the vitreous cavity. The patient was immediately
referred to a retinal surgeon for management. The patient underwent Pars
Plana Vitrectomy in the right eye for removal of the lens
fragments. An Intraocular lens was then placed in the sulcus in the eye
and patient had good postoperative vision of 6/9.
Case 2
A
65 year old lady underwent cataract surgery in the right eye for
immature senile cataract. During the surgery there was a
Posterior capsule rent in the lower part. The Intraocular Lens
(IOL) was implanted in the eye and it was in position. Postoperatively
patient had good vision for 5 days. Then suddenly she had a reduction in
vision one morning. There was no history of any trauma, no pain and no
redness of eyes. On examination vision in the right eye was counting fingers 2 meters. Ocular examination showed normal anterior chamber but there was no Intraocular lens in the pupillary area. Fundus examination showed the IOL in the vitreous cavity. Patient was advised to undergo Pars Plana Vitrectomy to remove the IOL, which she underwent the next day. During the surgery first the vitreous was removed, the IOL was then floated up by injecting a heavy fluid called PFCL and removed through the anterior chamber. The IOL was reinserted into the sulcus and placed on the capsular rim. Postoperatively the IOL remained in place and patient had good vision of 6/9. |
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