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.
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.