Abstract

An 80-year-old female presented with defective vision in right eye (RE) two months post-cataract surgery not associated with prior history of trauma. Best corrected visual acuity was hand movements in RE and 6/24 in left eye. RE had intraocular pressure of 40 mmHg by applanation tonometry. Slit lamp examination of RE showed dislocation of intraocular lens (IOL) in anterior chamber with partial optic capture and superior haptic protruding through a poor sclerocorneal tunnel having 5 sutures. A shallow anterior chamber with iritis and peripheral anterior synechiae were noted. RE fundus examination showed advanced glaucomatous disc cupping of 0.85:1. Thus a diagnosis of RE secondary-glaucoma following IOL dislocation was made which was confirmed on B-scan. RE IOL explantation with anterior vitrectomy under IV mannitol was done followed by structured management for uncontrolled IOP. Thus, idiopathic IOL dislocations in a poorly formed tunnel can cause loss of vision along with glaucoma.