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A 27-year-old man with traumatic partial dislocation of an intraocular lens
Digital Journal of Ophthalmology 2016
Volume 22, Number 1
February 2, 2016
DOI: 10.5693/djo.03.2015.10.003
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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
Treatment
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.
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Figure 2
IOL repositioned after dilation with 10% phenylephrine and supine positioning for 6 hours.