Ohta Kouichi, Sato Atsuko, Fukui Emi
Department of Ophthalmology, Matsumoto Dental University, Shiojiri, Nagano, Japan.
Int Med Case Rep J. 2021 Feb 16;14:95-100. doi: 10.2147/IMCRJ.S288270. eCollection 2021.
A late dislocation of an in-the-bag intraocular lens (IOL) is strongly associated with pseudoexfoliation and less with retinitis pigmentosa, prior vitreoretinal surgery, and uveitis. We present our findings of late in-the-bag IOL dislocation in three patients with multiple chorioretinal atrophy associated with sarcoidosis.
Observational study of three elderly female Japanese patients with a history of uveitis from sarcoidosis who presented with a late dislocation of an in-the-bag IOL.
The late in-the-bag IOL dislocation occurred in the convalescent/quiescent stage of the sarcoidosis. Peripheral multifocal chorioretinal atrophy was the main manifestation in all patients who were diagnosed with definite or presumed sarcoidosis. The dislocated IOLs were successfully removed and new IOLs were implanted with scleral suture fixation followed by no remarkable active uveitis.
Clinicians should be aware that patients with peripheral multifocal chorioretinal atrophy associated with sarcoidosis can have a late in-the-bag IOL dislocation.
囊内人工晶状体（IOL）迟发性脱位与假性剥脱密切相关，而与色素性视网膜炎、既往玻璃体视网膜手术及葡萄膜炎的相关性较小。我们报告了3例患有结节病相关多发性脉络膜视网膜萎缩患者发生囊内IOL迟发性脱位的研究结果。
对3例有结节病葡萄膜炎病史且出现囊内IOL迟发性脱位的老年日本女性患者进行观察性研究。
囊内IOL迟发性脱位发生在结节病的恢复期/静止期。所有确诊或疑似结节病的患者主要表现为周边多灶性脉络膜视网膜萎缩。脱位的IOL被成功取出，新的IOL通过巩膜缝线固定植入，随后未出现明显的活动性葡萄膜炎。
临床医生应意识到，患有结节病相关周边多灶性脉络膜视网膜萎缩的患者可能会发生囊内IOL迟发性脱位。
