Late Reposition of a Dislocated Toric Intraocular Lens in a Fibrosed Capsular Bag: A Case Report.

IF 0.6 Q4 OPHTHALMOLOGY

Case Reports in Ophthalmology Pub Date : 2026-07-04 eCollection Date: 2026-01-01 DOI:10.1159/000553211

Mustafa K Hallak, Robin Splawski, Sabine E Buchner, Robert P Finger, Argyrios Chronopoulos

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引用次数: 0

Abstract

Introduction: Toric intraocular lenses (IOLs) are widely used to correct corneal astigmatism during cataract surgery. However, postoperative rotation or decentration may significantly compromise visual outcomes.

Case presentation: A 70-year-old patient presented with progressive visual deterioration several years after cataract surgery with toric IOL implantation. Examination revealed a rotated and partially dislocated toric IOL with significant residual astigmatism (-7.50 D). Intraoperatively, the nasal haptic was located in the sulcus and fibrotic adhesions within the capsular bag were present. After careful viscodissection and release of capsular adhesions, the IOL was mobilized and repositioned into the capsular bag using a push-pull technique and aligned to the intended axis.

Conclusion: Several years after cataract surgery, a repositioning of a dislocated toric IOL is still possible and can restore visual function avoiding unnecessary complex IOL exchange procedures.

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纤维化囊袋内环形人工晶状体脱位晚期复位1例。

摘要环形人工晶状体（iol）在白内障手术中被广泛用于矫正角膜散光。然而，术后旋转或脱位可能会严重损害视力。病例介绍：一名70岁的患者在白内障手术并人工晶状体植入术数年后出现进行性视力恶化。检查发现一个旋转和部分脱位的环形人工晶状体，伴有明显的残余散光（-7.50 D）。术中，鼻触觉位于鼻沟，囊袋内存在纤维性粘连。经过仔细的粘解和囊粘连的释放，使用推拉技术将IOL移动并重新定位到囊袋中，并对准预定的轴。结论：白内障手术后数年，重新定位脱位的环形人工晶状体仍然是可能的，可以恢复视力，避免不必要的复杂的人工晶状体置换手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Case Reports in Ophthalmology OPHTHALMOLOGY-

CiteScore

0.90

自引率

0.00%

发文量

129

审稿时长

12 weeks

期刊介绍： This peer-reviewed online-only journal publishes original case reports covering the entire spectrum of ophthalmology, including prevention, diagnosis, treatment, toxicities of therapy, supportive care, quality-of-life, and survivorship issues. The submission of negative results is strongly encouraged. The journal will also accept case reports dealing with the use of novel technologies, both in the arena of diagnosis and treatment. Supplementary material is welcomed. The intent of the journal is to provide clinicians and researchers with a tool to disseminate their personal experiences to a wider public as well as to review interesting cases encountered by colleagues all over the world. Universally used terms can be searched across the entire growing collection of case reports, further facilitating the retrieval of specific information. Following the open access principle, the entire contents can be retrieved at no charge, guaranteeing easy access to this valuable source of anecdotal information at all times.