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Simultaneous existence of three intraocular lens inside one eye

1 Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan
2 Department of Opthalmology, Shin Kong Wu Ho Su Memorial Hospital, Taipei, Taiwan
3 Department of Opthalmology, Shin Kong Wu Ho Su Memorial Hospital, Taipei; School of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan

Correspondence Address:
Cheng-Kuo Cheng,
Shin Kong Wu Ho Su Memorial Hospital, Taipei
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/tjo.tjo_29_21

The purpose of the study was to report an unusual case of recurrent pseudophakic cystoid macular edema (PCME) in an eye with three simultaneous intraocular lenses (IOLs) inside. A 57-year-old female with diabetes mellitus (DM) and a history of complicated cataract surgery was diagnosed with cystoid macular edema (CME). Upon examination, an anterior chamber intraocular lens (ACIOL) with vitreous strand in her right eye was noted. The fluorescence angiography revealed CME of the right eye and microaneurysms in both eyes. Pars plana vitrectomy was performed to release the vitreous prolapse and traction around the ACIOL. During the surgery, two sunken posterior chamber IOLs in the vitreous were incidentally found and removed. The vitreous traction strand around the inappropriately placed anterior chamber ACIOL was also released. It was rarely reported that two dislocated IOL and ACIOL simultaneously existed in the same eye. Chronic recurrent PCME in this patient was possibly associated with posteriorly dislocated IOL, DM, and vitreous traction.

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