scholarly journals Case Report: Diagnosis of Late Spontaneous Intraocular Lens Dislocation on Point-of-care Ultrasound

2021 ◽  
Vol 5 (3) ◽  
pp. 332-334
Author(s):  
Alexandra Pizarro ◽  
Thompson Kehrl
Keyword(s):  
Case Report ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Vision Loss ◽  
Imaging Modality ◽  
Point Of Care ◽  
Angle Closure ◽  
Point Of Care Ultrasound ◽  
Blurred Vision ◽  
Iol Dislocation

Introduction: Spontaneous intraocular lens (IOL) dislocation is a rare, but serious, complication following cataract surgery. Case Report: We report a case of patient with a remote history of cataract surgery presenting to the emergency department with monocular blurred vision. Ocular point-of-care ultrasound (POCUS) facilitated diagnosis of a late spontaneous IOL dislocation. Discussion: Prosthetic IOL dislocations are being reported with increasing frequency. Prompt recognition of IOL dislocation is essential to prevent secondary complications, including acute angle-closure glaucoma and retinal detachment, which can result in permanent vision loss. Conclusion: Point-of-care ultrasound is a rapid, noninvasive imaging modality for early detection of IOL dislocation to help guide management, improve patient outcomes, and mitigate long-term sequelae.

scholarly journals Bilateral Retinal Detachments Caused by Severe Preeclampsia Diagnosed with Point-of-Care Ultrasound

CJEM ◽  
2015 ◽  
Vol 18 (5) ◽  
pp. 395-398 ◽  
Author(s):  
Jordan Chenkin ◽  
Claire L. Heslop ◽  
Cori R. Atlin ◽  
Michael Romano ◽  
Tomislav Jelic
Keyword(s):  
Blood Pressure ◽  
Case Report ◽  
Caesarean Section ◽  
Vision Loss ◽  
Point Of Care ◽  
Rare Complication ◽  
Severe Preeclampsia ◽  
Point Of Care Ultrasound ◽  
Elevated Blood ◽  
Ocular Ultrasound

AbstractBilateral retinal detachments are a rare complication of preeclampsia. We present a case report of a patient with an unknown pregnancy who presented with acute bilateral vision loss and elevated blood pressure. Point-of-care ocular ultrasound revealed bilateral retinal detachments. She was diagnosed with severe preeclampsia and taken for an urgent caesarean section with the delivery of a 26-week-old infant.

scholarly journals Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 155-159 ◽  
Author(s):  
Jocelyn Lam ◽  
Bradley Sifrig ◽  
Hoon Jung
Keyword(s):  
Case Report ◽  
Cataract Surgery ◽  
Intraocular Lens ◽  
Cone Dystrophy ◽  
Capsular Contraction ◽  
Intraocular Lens Dislocation ◽  
History Of ◽  
Blurry Vision ◽  
Pars Plana ◽  
Iol Dislocation

Purpose: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. Case Report: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus. Our patient underwent 2 sessions of Nd:YAG anterior capsulotomy with limited success. Limited anterior vitrectomy was then performed without success due to densely adherent capsular tissue to the anterior surface of the IOL and additional secondary IOL dislocation. She ultimately underwent pars plana vitrectomy, removal of the capsular bag, and IOL exchange with a scleral fixated IOL. Conclusion: Rapid and severe anterior capsular contraction following cataract surgery is rare but appears to be associated with rod-cone dystrophy.

scholarly journals Point-of-care Ultrasound Detection of Cataract in a Patient with Vision Loss: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 355-357
Author(s):  
Kyle Dornhofer ◽  
Marawan Alkhattabi ◽  
Shadi Lahham
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Vision Loss ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Cataract Formation ◽  
Ocular Ultrasound ◽  
History Of

Background: Point-of-care ocular ultrasound in the emergency department (ED) is an effective tool for promptly evaluating for several vision-threatening etiologies and can be used to identify more slowly progressing etiologies as well, such as cataract formation within the lens. Case Report: A 62-year-old female presented to the ED with a two-day history of painless vision loss of the left eye as well as reduced vision for the prior 30 days. Conclusion: Point-of-care ultrasound was performed and showed calcification of the lens consistent with cataract.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Point-of-Care Ultrasound Diagnosis of Acute High Altitude Illness: A Case Report

2021 ◽  
Author(s):  
Flavia Wipplinger ◽  
Niels Holthof ◽  
Jasmin Lienert ◽  
Anastasia Budowski ◽  
Monika Brodmann Maeder ◽  
...  
Keyword(s):  
Case Report ◽  
High Altitude ◽  
Point Of Care ◽  
Ultrasound Diagnosis ◽  
Point Of Care Ultrasound ◽  
High Altitude Illness

scholarly journals Intraocular Lens Dislocation after Cataract Surgery in Tambolaka, Southwest Sumba, Indonesia: A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 179-184
Author(s):  
Ratna Sitompul
Keyword(s):  
Case Report ◽  
Intraocular Lens ◽  
Rural Areas ◽  
Rare Complication ◽  
Cataract Extraction ◽  
Factors Affecting ◽  
Intraocular Lens Dislocation ◽  
Post Surgery ◽  
The Right ◽  
Iol Dislocation

Intraocular lens (IOL) dislocation is a rare complication of cataract extraction requiring prompt surgery. This case report aims to raise awareness of such cases and the importance of post-surgery follow-up. A 58-year-old female patient was found with anterior IOL dislocation a week after phacoemulsification surgery in her right eye. Visual acuity of the right eye was 1/60 with ciliary injection and IOL dislocation to the anterior chamber of the right eye. The patient underwent surgery of the right eye and the IOL haptic was found to be broken. In this case report, the factors affecting IOL dislocation are axis length, broken IOL haptic, and patient activity that increased intraocular pressure. Cataract extraction surgery, although common, needs to be conducted carefully, and it is important for ophthalmologists and general practitioners to detect this condition, especially in rural areas where facilities are limited, as IOL dislocation could occur and requires immediate treatment to achieve a better result.

scholarly journals Repeated intraocular lens dislocation followed by haptic deformation and loss of tension: a case report

2020 ◽  
Author(s):  
xinqi ma ◽  
ming zhou ◽  
jiajie wen ◽  
yujia ouyang ◽  
chongde long
Keyword(s):  
Case Report ◽  
Intraocular Lens ◽  
Optical Surface ◽  
Iol Implantation ◽  
Lens Dislocation ◽  
Intraocular Lens Dislocation ◽  
Satisfactory Outcome ◽  
Lens Implantation ◽  
Eye Examination ◽  
Iol Dislocation

Abstract Background: Intraocular lens (IOL) dislocation is a rare but serious postoperative complication of intraocular lens implantation, so far, there is no report describing late intraocular lens dislocation caused by a deformed haptic piercing through the iris. Case report: A 29-year-old male developed IOL dislocation one and a half years after IOL implantation in his right eye. The eye examination showed that haptic pierced the iris at 10 o'clock in his right eye, according to intraoperative exploration, the haptic was deformed and became less elastic, the patient underwent the surgery of IOL reposition for various factors, but finally did not achieve a satisfactory outcome. Conclusion: Late IOL dislocation followed by haptic deformation is difficult to detect unless there are serious complications. When the position of IOL haptics is not in a plane with its optical surface, it should be highly vigilant that the function of the haptics may be abnormal. IOL replacement should be performed as soon as possible for the IOL dislocation caused by the loss of haptic tension.

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