From: In-bag dislocation of intraocular lens in patients with uveitis: a case series
Case number | Eye/age/sex | Past medical history | Ocular history | Uveitis diagnosis | Date of cataract surgery | Best VA preop | Best VA postop | Comment of surgery | Type of IOL | Time to dislocation (months) | Date of reported dislocation | VA when lens dislocated | Management of dislocation | Date of IOL removal | Best VA post repair | Last review | Final uveitis status |
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1 | R/81/M | Hypertension, osteoarthritis, ischaemic heart disease, dyslipidaemia | RE CNV macular scar, bilateral moderate glaucoma, RE PKE/IOL, LE PKE/IOL | RE multifocal choroiditis and retinal vasculitis | 10 February 2000 | VAR 6/24 | VAR 6/36 | Uncomplicated | PCIOL 19.0D SN60WF | 165 | 28 November 2013 | VAR perception of light | Conservative management | VAR perception of light | 09 May 2014 | RE multifocal choroiditis and retinal vasculitis | |
2 | R/49/M | HIV positive (good CD4 count) | Bilateral keratoconus, RE Fuchs’ heterochromic iridocyclitis, pseudophakia, quiescent bilateral multifocal choroiditis quiescent, persistent old right vitritis | Bilateral multifocal choroiditis, RE vitritis | 06 September 2007 | VAR 3/60 | VAR 6/12 | Dense cortical cataract | PCIOL 15.5D SN60WF | 75 | 13 December 2013 | VAR 6/36 | IOL removed via AC and a corneal section | 16 December 2013 | VAR 6/7.5 with hard contact lens | 24 June 2014 | Bilateral multifocal choroiditis, RE vitritis |
3 | R/64/F | Rheumatoid arthritis (1995) | RE acute retinal necrosis (2005) | Right acute retinal necrosis secondary to herpetic retinitis (2005) | 11 June 2009 | VAR 6/18 | VAR 6/6 | Very loose bag | PCIOL 17.5D SN60WF | 53 | 28 November 2013 | VAR 6/7.5 | PCIOL explantation and ACIOL placement | 30 January 2014 | VAR 6/12 | 27 April 2014 | RE herpetic retinitis |
4 | R/56/M | Hay fever, asthma | Bilateral steroid-induced glaucoma, RE Fuchs’ heterochromic iridocyclitis, RE inferiorly dislocated IOL, RE vitrectomy and PKE/IOL 14/11/13 MTA4UO +14 | Presumed Fuchs’ heterochromic iridocyclitis secondary to inferiorly dislocated PC IOL RE | 1998 | VAR 6/6 | Intermittent inflammation | 48 | 05 August 2002 | VAR 1/60 | PCIOL explantation with vitrectomy, ACIOL placement | 14 November 2013 | VAR 6/6 - 2 | 15 May 2014 | RE Fuchs’ heterochromic iridocyclitis | ||
5 | R/45/M | Type 2 diabetes (2011) | Herpetic keratouvetitis, bilateral retinal necrosis (2006), bilateral relapsing remitting macular oedema, vitritis, multiple IVTA | Herpetic keratouvetitis, bilateral retinal necrosis (2006 | 07 February 2008 | VAR counting finger | VAR 6/9 | Bilateral severe macula oedema, initially treated by orbital floor steroids, failed to respond, later responded well to multiple IVTA (16/05/2008 to 27/06/2008) | PCIOL 19.0D SN60WF | 64 | 21 June 2013 | VAR: 6/24 - 1 | PCIOL explantation with anterior vitrectomy, IVTA and ACIOL placement | 28 August 2013 | VAR 6/38 | 22 April 2014 | Bilateral retinal necrosis |