A 58-year-old female patient from Tambolaka, Southwest Sumba, Indonesia presented for a follow-up after mass cataract extraction surgery. She graduated from high school and lives as a farmer. Before undergoing mass cataract extraction surgery, she complained of blurred vision in both eyes for 1 year. Upon examination, best visual acuity after correction was 1/300 for the right eye and 1/60 for the left eye. There was no history of other ocular disease prior to surgery. The patient was diagnosed with bilateral mature senile cataract. She then underwent phacoemulsification surgery of her right eye on August 27, 2016 in a mass cataract surgery in the hospital using a regular foldable lens. One week after the surgical procedure, the patient came to the hospital for post-surgery checkup and complained of sudden blurred vision in her right eye. History of eye trauma was denied by the patient. She admitted that before the symptoms appeared, she had often carried heavy loads around 5–10 kg and drawn water from wells as her daily activities. Upon physical examination, blood pressure was 130/90 mm Hg and visual acuity of the affected right eye was 1/60. Ciliary injection was found in the right eye along with IOL in the anterior chamber (Fig. ). Another surgery was later performed on the patient to replace the dislocated IOL with a new one. During the second operation, the trailing haptic was found to be broken. Post-surgery visual acuity of the right eye was 6/21.
An 81-year-old Caucasian male presented with long-standing right-sided multifocal choroiditis and retinal vasculitis complicated by choroidal neovascularization with a macular scar and bilateral moderate glaucoma. He developed progressive anterior and posterior subcapsular cataract. Preoperatively, the patient’s uveitis was controlled with topical steroids only. He underwent uncomplicated phacoemulsification cataract extraction with a 19.0D Alcon SN60WF in-bag implant in 2000. Postoperatively, his vision was initially 6/36. Due to his choroidal neovascular membrane, the vision in his right eye progressively deteriorated to light perception only by 2009. He represented in 2013 at the age of 80, 165 months after his initial right eye IOL implant, with in-bag dislocation of his PCIOL. He was managed conservatively due to the poor visual potential.