A 64-year-old Caucasian female presented with right-sided cataract in 2009 at the age of 59. She had a background history of rheumatoid arthritis treated with methotrexate. She had developed right herpetic retinitis in 2005. She underwent uncomplicated phacoemulsification with an Alcon SN60WF inserted in-bag. Loose zonules were noted at the time of the cataract surgery, and no capsular tension ring was inserted. Postoperatively, her acuity was 6/6. In May 2013, 47 months post-surgery review, there was no evidence of IOL instability; however, she represented 6 months later in November 2013 with right eye fluctuating vision and a right-sided in-bag IOL dislocation. Two months later, she underwent a right-sided anterior approach PCIOL explantation and anterior vitrectomy with anterior chamber intraocular lens (ACIOL). Postoperatively, her corrected visual acuity was 6/12.
A-77-year old woman complained of blurred vision in her left eye. She had undergone cataract surgery with implantation of an IOL 13 years earlier without any complications. She had been diagnosed with presumed sarcoidosis about 15 years earlier, and the mild iritis had been controlled by steroid eyedrops.\nHer BCVA at presentation was 20/30 in the left eyes. The IOP was 15 mmHg and 14 mmHg in the right and left eyes, respectively. Slit-lamp examination revealed no cells in the anterior chamber, but a nasally dislocated in-the-bag IOL was detected (). Slit-lamp examination showed no pseudoexfoliation or vitreous opacities, and ophthalmoscopy showed pigmented chorioretinal atrophy in the periphery. The subfoveal EZ was disrupted in the OCT images.\nShe underwent 27-gauge PPV and the one piece in-the bag PMMA IOL was removed through a 7.5-mm corneal scleral incision without PFCL in September 2017. A CZ70BD IOL (Alcon, Texas, USA) was implanted and fixed with scleral sutures as in the other cases. Thereafter, the PC-IOL was stable (), and the BCVA has remained 20/30 for 2 years without obvious signs of iritis. The peripheral pigmented chorioretinal atrophy and mild macular degeneration could be clearly observed after the surgery (). The visual field was constricted due to the chorioretinal atrophy ().