Dislocation of an intraocular lens (IOL) with the capsular bag is a late complication of cataract surgery, reported with increasing frequency in recent years. Pseudoexfoliation, uveitis, myopia, and other diseases associated with progressive zonular weakening and capsular contraction are the predisposing conditions. Capsular tension rings probably help but do not prevent this complication. Management includes IOL exchange, replacement with an anterior or a sutured posterior chamber IOL, or suturing the IOL through the bag to the iris or the sclera.

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In the absence of capsule and zonule support, a modified insertion technique allows simple peripheral iris fixation of a posterior chamber 3-piece acrylic intraocular lens (IOL) via a small incision for secondary implantation. A bimanual unfolding maneuver creates pupillary capture of the optic to temporarily stabilize the IOL. Peripheral modified McCannel sutures fixate the flexible monofilament poly(methyl methacrylate) haptics to the posterior peripheral iris surface, after which the optic is safely prolapsed into the posterior chamber.

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Two patients presented with an enlarging orbital mass that proved to be simple dacryops, a condition in which a cyst arises in the palpebral lobe of the lacrimal gland. The cyst in one patient was lined by one to two layers of relatively flat epithelial cells favoring a lacrimal gland ductal origin. In the second patient, the cyst was lined by a nonkeratinized stratified squamous epithelium with numerous goblet cells consistent with a conjunctival origin.