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

• Published in: Contact lens & anterior eye Vol. 34; no. 4; pp. 193 - 195
• Main Authors: Lam, Fook Chang, Livingstone, Iain, Imrie, Fraser R, Mantry, Sanjay
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-08-2011
• Subjects: Aged; Anterior capsular contraction syndrome; Anterior Capsular Rupture, Ocular - complications; Anterior Capsular Rupture, Ocular - surgery; Anterior capsule opacification; Anterior capsule phimosis; Eye Foreign Bodies - diagnosis; Eye Foreign Bodies - etiology; Foreign-Body Migration - diagnosis; Foreign-Body Migration - etiology; Humans; IOL dislocation; Laser Therapy - adverse effects; Lenses, Intraocular - adverse effects; Male; Nd:YAG laser; Ophthalmology; Phacoemulsification - adverse effects; Nd:YAG laser; Anterior capsule phimosis; Anterior capsular contraction syndrome; Anterior capsule opacification; IOL dislocation
• ISSN: 1367-0484; 1476-5411
• DOI: 10.1016/j.clae.2011.03.003

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.