Cory Miller, BS | University of Minnesota Medical School, Minneapolis Luke Dolezal, BA | University of Minnesota Medical School, Minneapolis Sandra R. Montezuma, MD | Department of Ophthalmology & Visual Neurosciences. University of Minnesota, Minneapolis
Both conservative treatment and surgical options for repositioning the IOL were discussed with the patient. The patient opted to first try supine positioning for 6 hours after dilation of the right pupil with 10% phenylephrine. After this time, his IOL repositioned spontaneously, and his pupil was normal. At follow-up 1 week later, the patient was doing well, with no pain or discomfort. His visual acuity remained 20/25, and his IOP remained normal. Slit-lamp examination revealed that the shape of the right pupil had only a slight peak superiorly. The IOL was in the sulcus (Figure 2). The rest of the eye examination was unremarkable.