Delayed Presentation of Traumatic Dislocation of a Visian Implantable Collamer Lens

Abstract

Traumatic ICL dislocation may occur with minimal signs and symptoms. Education of patients about the necessity for examination after ocular trauma and need to wear eye protection during activities at high risk of ocular trauma are important.

Traumatic Dislocation of Implanted Collamer Phakic Lens: A Case Report and Review of the Literature

“…One case report even describes a case in which ICLs were stable after a grenade explosion [6]. Subsequently, there have been five cases of ICL dislocation reported in the literature [7-11], three of which were caused by blunt ocular trauma, similar to ours (Table 1 )[7, 10, 11]. …”

“…There have been three previously reported cases of ICL dislocation caused by blunt ocular trauma [7, 10, 11]. The patients were aged 26, 33, and 39.…”

“…Two of the three reported patients were symptomatic with blurry vision [7, 11]. Interestingly, one of the patients was asymptomatic and the dislocated IOL was only discovered on a regularly scheduled eye exam two weeks after his blunt injury; his vision had decreased to 20/30 from 20/20 [10]. One case reported associated hyphema [11].…”

“…One case reported associated hyphema [11]. In one case the infero-nasal footplate was dislocated [1], in another the infero-temporal footplate [7], and in the third the two temporal footplates were dislocated [10]. …”

“…All three of the reported patients were treated with repositioning of the ICL within one week of presentation [7, 10, 11]. Our patient underwent ICL repositioning two weeks after the inciting event; due to the patient’s social circumstances, an earlier surgery was not possible.…”