Haptic of PC IOL Penetrating the Iris

Concussion trauma has dislodged the PC IOL from capsular bag and caused its superior haptic penetrated the iris anteriorly and touched the corneal endothelium. Localized corneal edema was noted. 

  • Trauma may dislodge PC IOL to the anterior or posterior chamber or even to the subconjunctival space.

Clinical features:

  • Depends on the position of the dislocated IOL, it may give symptoms of:
  • Fluctuating visual acuity
  • Monocular diplopia
  • Painful eye
  • Photophobia
  • Signs:
  • Aphakia
  • Partial or total dislocated IOL
  • Can be complicated with inflammatory reactions, pigment dispersion, corneal decompensation,glaucoma, cystoid macular edema or retinal detachment.

Management:

  • IOL removal and replaced by new IOL.
  • IOL reposition.
  • Specific treatment of the other complications.