Intraoperative Optical Coherence Tomography of a Dislocated Intraocular Lens

Abstract

An 88‐year‐old female with pseudoexfoliation syndrome presented with sudden vision loss and was found to have a dislocated one piece intraocular lens (IOL) that was resting on the retina. She underwent 23‐gauge pars plana vitrectomy, IOL explantation, and anterior chamber IOL insertion. Intraoperative optical coherence tomography (EnFocus iOCT; Leica, Wetzlar, Germany) was used to assess the position and vault of the IOL on the retinal surface [Figure 1a]. Utilization of iOCT enabled the surgeon to safely grasp the IOL with forceps in the location with the greatest vault in order to minimize any potential trauma to the retina [Figure 1b].