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Abstract #92414 Published in IGR 22-1

Intraocular Lens Subluxation following Micropulse Transscleral Cyclophotocoagulation

Alqaseer B; Abunajma M
Saudi Journal of Ophthalmology 2020; 34: 233-235

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We present a case of intraocular lens (IOL) subluxation following micropulse transscleral cyclophotocoagulation (MP-TSCPC) procedure for glaucoma that is resistant to medical therapy. A 71-year-old male presented to his routine glaucoma follow-up appointment and was found to have medically uncontrolled intraocular pressure (IOP) in the right eye. Throughout his visits, the IOP ranged between 26 and 35 mmHg. The IOL was in position without the presence of pseudoexfoliation, and the cup-disc ratio was 0.8 in the right eye. The patient was treated with MP-TSCPC and no immediate complaints or complications were noted post-procedure. However, 5 weeks postoperatively, he presented with IOL subluxation. MP-TSCPC is becoming a popular choice of treatment in lowering IOP. To the best of our knowledge, IOL subluxation has not been reported as a complication. Since the procedure is relatively new, further long-term research is warranted to determine the possible effects and complications.

Eye and Laser Center, Bahrain Defence Force Hospital, Royal Medical Services, Kingdom of Bahrain.

Full article

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Classification:

12.10 Cyclodestruction (Part of: 12 Surgical treatment)
9.4.4.3 Glaucomas associated with lens dislocation (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)

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