Abstract

A 60-year-old woman with epilepsy was operated for cataract at a district hospital. After the surgery, she fell and experienced a superior scleral tear, dislocated intraocular lens (IOL), partial aniridia, and vitreous loss. The district hospital surgeon repaired the tear and replaced the IOL with a new PMMA IOL in the sulcus. However, after a month, the sulcus IOL also dislocated into the vitreous cavity, and the patient was referred to a retinal specialist. The retinal surgeon removed the IOL and inserted a SFIOL. Unfortunately, the patient had another epileptic episode and fell again, causing the SFIOL to dislocate. Due to significant scarring around the eye, it was challenging to remove the dislocated SFIOL and replace it with a new one. So, we repositioned the dislocated SFIOL in a different location (2 and 7 o’clock) where the conjunctival tissue was healthier. After a 3-month follow-up, the patient's vision improved to 6/18 with corrective photo-chromatic glasses.