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Ophthalmic Images |

Entopic Image of Dislocated Intraocular Lens

Jennifer Tordilla-Wadia, MD; Sejal Shah, MD; Curtis E. Margo, MD, MPH
JAMA Ophthalmol. 2013;131(10):1. doi:10.1001/jamaophthalmol.2013.4522.
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A 67-year-old man, with history of right cataract extraction surgery 10 years earlier then retinal detachment with therapeutic vitrectomy 1 year later, experienced severe blurred vision in the eye for 1 week. Visual blur was interrupted with the transient image of a “gasket,” which he could draw better than explain verbally (A). Visual acuity was 20/25 with +8-diopter correction. On reclined fundus examination, a plate haptic intraocular lens (IOL) was observed floating in front of the macula (B). The dislocated IOL was removed surgically (C) and replaced with an anterior chamber IOL. The cloudy edge of the entopic image corresponded to adherent lens capsule to the IOL (C, insert; periodic acid–Schiff; bar = 20 µm).

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A 67-year-old man, with history of right cataract extraction surgery 10 years earlier then retinal detachment with therapeutic vitrectomy 1 year later, experienced severe blurred vision in the eye for 1 week. Visual blur was interrupted with the transient image of a “gasket,” which he could draw better than explain verbally (A). Visual acuity was 20/25 with +8-diopter correction. On reclined fundus examination, a plate haptic intraocular lens (IOL) was observed floating in front of the macula (B). The dislocated IOL was removed surgically (C) and replaced with an anterior chamber IOL. The cloudy edge of the entopic image corresponded to adherent lens capsule to the IOL (C, insert; periodic acid–Schiff; bar = 20 µm).

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