Dislocation of polyfocal full-optics accommodative intraocular lens after neodymium-doped yttrium aluminum garnet capsulotomy in vitrectomized eye
A 55-year-old male patient visited our clinic for the chief complaint of sudden-onset vision decrease after Nd: YAG capsulotomy in a local clinic. At the time of admission, the uncorrected visual acuity was 20/1000 and the intraocular pressure was 15 mm Hg.\nAt 22 months before the dislocation of the IOL, the patient underwent uneventful phacoemulsification with WIOL-CF® IOL implantation in the local clinic and 10 months after the cataract surgery, the patient was transferred to our clinic for the treatment of rhegmatogenous retinal detachment (RRD) with 3 disc diameter-sized horseshoe tear located at 12 o’clock. Patient underwent pars plana vitrectomy, endolaser photocoagulation and 14% C3F8 gas tamponade and recovered the vision up to 20/20 of the best corrected visual acuity (BCVA) with well-attached retina, 3 months after the RRD surgery.\nAt 9 months after RRD surgery, the BCVA decreased to 20/25 and in the slit lamp examination, the inferonasal continuous curvilinear capsulorhexis (CCC) margin was dragged superotemporally and anterior capsule was folded. However, the IOL was not subluxated and definite signs of damaged posterior capsule or zonules were not identified []. At 2 days later, the patient visited our clinic after Nd: YAG posterior capsulotomy in the local clinic and in fundus examination, the dislocated IOL was identified []. Slit lamp examination revealed the ovoid Nd: YAG capsulotomy site and the larger linear break, which is the suspected route of the IOL dislocation, in the posterior capsule [].