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
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.