Bilateral spontaneous late anterior dislocation of in-the-bag intraocular lens with phimosis in uveitis patient

Abstract

The late in-the-bag dislocation of the intraocular lens (IOL) is an uncommon complication in uveitis patients and can occur after uneventful surgery as a result of progressive zonular dehiscence. A 57-year-old diabetic and uveitic male developed bilateral spontaneous anterior dislocation of in-the-bag IOLs with phimosis following 15 and 23 months, respectively, in the right and left eye after uneventful phacoemulsification with foldable IOL. The dislocated bag and IOL complex were removed and scleral fixated IOL (SFIOL) was implanted in both eyes with good results. Late in-the-bag dislocation of IOL could be multifactorial, and its management is challenging. Many surgical options are available to handle such situations, but dislocated IOL replacement with SFIOL is a good option for restoring and maintaining the vision of such eyes.