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Spontaneous late in-the-bag intraocular lens dislocation after can-opener capsulotomy: case report

Deslocamento espontâneo e tardio de lente intra-ocular "in-the-bag" após capsulotomia tipo abridor de latas: relato de caso

We report a case of a 58-year-old man presenting with a spontaneous and late in-the-bag intraocular lens dislocation to the vitreous. A previous uneventful extracapsular cataract extraction with can-opener style capsulotomy and implantation of a polymethylmethacrylate three-piece lens was performed and, two years after the surgery, the patient developed capsule contraction syndrome with a fibrotic ring formation and dislocation of the intraocular lens. Although uncommon and related mainly to continuous curvilinear capsulorhexis, capsule contraction syndrome occurs in patients undergoing extracapsular cataract surgery with can-opener style and polymethylmethacrylate lens implantation, and can be the causative factor of intraocular lens dislocation.

Cataract; Cataract extraction; Lens implantation; intraocular; Postoperative complications


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