A 49-year-old Caucasian male presented with a dense right-sided cortical cataract in 2007 at the age of 44. HIV infection was diagnosed in 1997. His ocular history included bilateral keratoconus, bilateral uveitis, and multifocal choroiditis, which had been treated with eight intravitreal triamcinolone (IVTA) injections previously and was quiescent at the time of his cataract surgery. His right eye vision was 3/60 preoperatively. He underwent uncomplicated phacoemulsification cataract surgery and implantation of a 15.5D Alcon SN60WF into the bag. Postoperatively, his acuity improved to 6/12. Subsequently, he underwent right eye vitrectomy for long-standing vitritis in 2008. Seventy-five months after his initial PCIOL implant, he represented with visual loss in the right eye due to an in-bag IOL dislocation. He underwent a pars plana vitrectomy and removal of IOL. He was left aphakic and managed with a hard contact lens. On the last review in June 2014, his right eye corrected visual acuity was 6/7.5.
A 57-year-old Asian male had initial right eye cataract surgery in 1998 at the age of 40 in Singapore. Background history included asthma and allergic rhinitis. He had an ocular history of right-sided Fuchs’ heterochromic iridocyclitis and secondary glaucoma. In 2002, approximately 48 months after his right eye PCIOL implant, the patient developed intermittent right-sided ocular inflammation. On examination, his vision was 6/6 and was found to have an in-bag superonasally displaced PCIOL, rubbing against the posterior surface of the iris and causing inflammation. In 2013, the PCIOL dislocated inferiorly. The patient underwent right eye PCIOL removal with pars plana vitrectomy and removal of IOL with secondary ACIOL placement. Postoperatively, his acuity was 6/6−2.