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A 27-year-old man with traumatic partial dislocation of an intraocular lens
Digital Journal of Ophthalmology 2016
Volume 22, Number 1
February 2, 2016
DOI: 10.5693/djo.03.2015.10.003
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Cory Miller, BS | University of Minnesota Medical School, Minneapolis Luke Dolezal, BA | University of Minnesota Medical School, Minneapolis Sandra R. Montezuma, MD | Department of Ophthalmology & Visual Neurosciences. University of Minnesota, Minneapolis
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| Treatment | | Both conservative treatment and surgical options for repositioning the IOL were discussed with the patient. The patient opted to first try supine positioning for 6 hours after dilation of the right pupil with 10% phenylephrine. After this time, his IOL repositioned spontaneously, and his pupil was normal. At follow-up 1 week later, the patient was doing well, with no pain or discomfort. His visual acuity remained 20/25, and his IOP remained normal. Slit-lamp examination revealed that the shape of the right pupil had only a slight peak superiorly. The IOL was in the sulcus (Figure 2). The rest of the eye examination was unremarkable. | |
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Figure 2
IOL repositioned after dilation with 10% phenylephrine and supine positioning for 6 hours.
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