Traumatic Dislocation of Implanted Collamer Phakic Lens: A Case Report and Review of the Literature



Majid Moshirfar*, Brian C Stagg, Valliammai Muthappan , Shail A Vasavada
John A. Moran Eye Center, University of Utah School of Medicine, USA


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© Moshirfar et al.; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the John A. Moran Eye Center, University of Utah School of Medicine, 65 Mario Capecchi Drive, Salt Lake City, Utah 84132, USA; Tel: (801) 581-2352; E-mail: majid.moshirfar@hsc.utah.edu


Abstract

Purpose :

Present a case of dislocation of an Implantable Collamer Lens (ICL) that occurs after blunt trauma and review the published literature on this topic.

Methods :

Case report and literature review using PubMed.

Results :

A 44 year-old male presented to the emergency department with sudden onset of blurry vision after blunt trauma to the left eye. Three years prior, he had undergone bilateral ICL placement for high myopia. On examination, the superotemporal haptic was noted to be dislocated into the anterior chamber, but there was no endothelial touch by the dislocated lens. The patient had an associated hyphema that was medically managed, and 2 weeks after the injury, the patient underwent ICL repositioning. A review of the literature was performed and five previous cases of ICL dislocation were identified. Three of these occurred after blunt trauma. One of these cases was associated with endothelial touch and decompensation and eventually required a descement’s stripping endothelial keratoplasty (DSAEK).

Conclusion :

Dislocation of ICLs after blunt trauma is a rare but important potential sequela of the procedure and can lead to corneal decompensation if there is lens-endothelial touch. All patients who suffer blunt dislocation of ICL should be followed long-term after repositioning for signs of endothelial loss and dysfunction.

Keywords: Dislocation, high myopia, ICL, implantable collamer lens, IOL, lens dislocations, myopia, phakic IOL, PIOL, staar ICL, trauma, traumatic lens dislocation, vision.