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 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.