Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation
Abstract In this study, we described and discussed the late onset spontaneous posterior capsule rupture with intraocular lens (IOL) dislocation years after uncomplicated cataract surgery and implantation of hydrophobic acrylic IOLs. Eight patients presented with spontaneous posterior capsule rupture...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-02-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-53934-z |
| _version_ | 1797275107132964864 |
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| author | Soomin Lee Gahye Lee Choul Yong Park |
| author_facet | Soomin Lee Gahye Lee Choul Yong Park |
| author_sort | Soomin Lee |
| collection | DOAJ |
| description | Abstract In this study, we described and discussed the late onset spontaneous posterior capsule rupture with intraocular lens (IOL) dislocation years after uncomplicated cataract surgery and implantation of hydrophobic acrylic IOLs. Eight patients presented with spontaneous posterior capsule rupture and IOL dislocation 5–20 years after uncomplicated phacoemulsification and IOL (AcrySof, Alcon, US) implantation. None of the patients had undergone posterior capsulotomy in the past. Four of the patients admitted habitual eye rubbing. An intact and well-centered continuous curvilinear capsulotomy edge was observed in all cases. IOLs were dislocated or displaced behind the anterior capsulotomy with a significant decrease in vision. A large rupture with a curled edge of the broken posterior capsule was visible. Dislocated IOLs were removed, and a three-piece IOL was inserted in the sulcus in six cases and suture fixated to the sclera in two cases. Improved vision was achieved in all cases. Although the mechanism underlying this late complication is unclear, habitual eye rubbing or IOL design may play a role. Further investigation is needed to prevent this complication in the future. |
| first_indexed | 2024-03-07T15:09:34Z |
| format | Article |
| id | doaj.art-d53f6ce403db41dd8ce2b17831cb49c4 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-07T15:09:34Z |
| publishDate | 2024-02-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-d53f6ce403db41dd8ce2b17831cb49c42024-03-05T18:45:53ZengNature PortfolioScientific Reports2045-23222024-02-011411710.1038/s41598-024-53934-zLate spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocationSoomin Lee0Gahye Lee1Choul Yong Park2Department of Ophthalmology, Dongguk University, Ilsan HospitalDepartment of Ophthalmology, Dongguk University, Ilsan HospitalDepartment of Ophthalmology, Dongguk University, Ilsan HospitalAbstract In this study, we described and discussed the late onset spontaneous posterior capsule rupture with intraocular lens (IOL) dislocation years after uncomplicated cataract surgery and implantation of hydrophobic acrylic IOLs. Eight patients presented with spontaneous posterior capsule rupture and IOL dislocation 5–20 years after uncomplicated phacoemulsification and IOL (AcrySof, Alcon, US) implantation. None of the patients had undergone posterior capsulotomy in the past. Four of the patients admitted habitual eye rubbing. An intact and well-centered continuous curvilinear capsulotomy edge was observed in all cases. IOLs were dislocated or displaced behind the anterior capsulotomy with a significant decrease in vision. A large rupture with a curled edge of the broken posterior capsule was visible. Dislocated IOLs were removed, and a three-piece IOL was inserted in the sulcus in six cases and suture fixated to the sclera in two cases. Improved vision was achieved in all cases. Although the mechanism underlying this late complication is unclear, habitual eye rubbing or IOL design may play a role. Further investigation is needed to prevent this complication in the future.https://doi.org/10.1038/s41598-024-53934-zDislocationDisplacementIntraocular lensPosterior capsuleRuptureSpontaneous |
| spellingShingle | Soomin Lee Gahye Lee Choul Yong Park Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation Scientific Reports Dislocation Displacement Intraocular lens Posterior capsule Rupture Spontaneous |
| title | Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation |
| title_full | Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation |
| title_fullStr | Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation |
| title_full_unstemmed | Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation |
| title_short | Late spontaneous posterior capsule rupture with single-piece hydrophobic acrylic intraocular lens dislocation |
| title_sort | late spontaneous posterior capsule rupture with single piece hydrophobic acrylic intraocular lens dislocation |
| topic | Dislocation Displacement Intraocular lens Posterior capsule Rupture Spontaneous |
| url | https://doi.org/10.1038/s41598-024-53934-z |
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