Sitompul Ratna
Department of Ophthalmology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Case Rep Ophthalmol. 2018 Mar 2;9(1):179-184. doi: 10.1159/000487228. eCollection 2018 Jan-Apr.
Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.
人工晶状体(IOL)脱位是白内障摘除术一种罕见的并发症,需要及时进行手术。本病例报告旨在提高对此类病例的认识以及术后随访的重要性。一名58岁女性患者在右眼白内障超声乳化手术后一周被发现人工晶状体向前脱位。右眼视力为1/60,有睫状充血,人工晶状体脱位至右眼前房。该患者接受了右眼手术,发现人工晶状体襻断裂。在本病例报告中,影响人工晶状体脱位的因素有眼轴长度、人工晶状体襻断裂以及增加眼内压的患者活动。白内障摘除手术虽然常见,但需要谨慎进行,眼科医生和全科医生察觉这种情况很重要,尤其是在设施有限的农村地区,因为人工晶状体脱位可能发生且需要立即治疗以取得更好的效果。