Bilateral Sequential Spontaneous Anterior Dislocated Intraocular Lens in a Patient With Retinitis Pigmentosa.

Autor:	Yee Chau Sim A; Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS., Meng Hsien Y; Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS., Seng Fai T; Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS., Mustapha M; Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala lumpur, MYS., Wan Abdul Halim WH; Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Jul 18; Vol. 14 (7), pp. e26986. Date of Electronic Publication: 2022 Jul 18 (Print Publication: 2022).
DOI:	10.7759/cureus.26986
Abstrakt:	Retinitis pigmentosa is one of the risk factors for intraocular lens dislocation post cataract surgery which can lead to many complications. A 64-year-old Chinese female with bilateral pseudophakia and retinitis pigmentosa was referred for the continuation of care in 2009 with baseline visual acuity of hand movement bilaterally due to the retinitis pigmentosa. The cataract surgeries with posterior chamber intraocular lens (PCIOL) implantation in her early 50s were uneventful. In 2011, her right eye PCIOL dislocated anteriorly into the anterior chamber spontaneously and touched the cornea. It was complicated with bullous keratopathy and corneal decompensation. Intraocular pressure (IOP) was normal. PCIOL explantation, anterior vitrectomy and surgical peripheral iridotomy were performed. However, the cornea remained decompensated postoperatively. Her left eye was stable until 2019 when she developed acute angle closure secondary to complete anterior dislocation of PCIOL with pupillary block glaucoma. She underwent left eye PCIOL explantation, anterior vitrectomy and surgical peripheral iridotomy when IOP was optimised medically. Finally, both eyes were left aphakic due to poor prognosis with light perception (PL) vision, IOP was stable on single topical antiglaucoma and bilateral decompensated corneas were maintained with topical hypertonic saline. This case highlights the different serious sequelae of bilateral eyes in an unfortunate retinitis pigmentosa patient. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Yee Chau Sim et al.)
Databáze:	MEDLINE
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