Traumatic Flap Dislocation and Management After 17 Years of Lasik Surgery
Arun Muppliyath Raghavan*
1Bascom Palmer Eye Institute, University of Miami, Florida, USA
2An-Najah National University Hospital, Nablus, Palestine
*Corresponding Author: Arun Muppliyath Raghavan, Optometrist, Department of Ophthalmology, Mediclinic Airport Road Hospital, Abu Dhabi, UAE.
March 14, 2022; Published: March 22, 2022
A 39-year-old man with retinitis pigmentosa (RP), who had undergone uneventful bilateral phacoemulsification ten years previously, had spontaneously dislocated intraocular lenses (IOL) within the capsular bag in both eyes two years apart. We removed the dislocated IOLs, and performed parsplanavitrectomy for the left eye, anterior vitrectomy for the right eye, and finally scleral fixation of the new IOLs. Mild of the capsular bags contraction and uneven distribution of the zonular clumps along the equator of the capsules were noted in both eyes. To our knowledge, this is the first case report of bilateral spontaneous dislocation of IOLs within the capsular bag of an RP patient in Palestine. This event raises the issue of possible IOL dislocation in RP patients, a complication that could extend to a decade after the initial operation.
Keywords: Retinitis Pigmentosa; Phacoemulsification; Intraocular Lens Dislocation; Zonular Weakness; Capsular Bags Contraction
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