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October 1989

Late Endophthalmitis After Transscleral Fixation of a Posterior Chamber Intraocular Lens

Author Affiliations

Miami, Fla

Arch Ophthalmol. 1989;107(10):1427. doi:10.1001/archopht.1989.01070020501017

To the Editor.  —Transscleral fixation of a posterior chamber intraocular lens (IOL) has recently been described as a method of repositioning posteriorly dislocated IOLs or implanting IOLs in the absence of posterior capsular support.1-3 As with any intraocular procedure, the potential risk of endophthalmitis exists, although, to our knowledge, this complication has not been described after transscleral fixation of a posterior chamber IOL.

Report of a Case.  —A 44-year-old man had blunt trauma to his left eye 1 month after secondary implantation of a posterior chamber IOL. The trauma caused a rupture of the limbal incision, vitreous to the wound, retinal detachment, and posterior dislocation of the IOL. The macula remained attached, and the initial visual acuity was 20/50 despite a bullous nasal retinal detachment.After initial wound repair, a pars plana vitrectomy and retinal detachment repair were performed. In the air-filled eye, the lens haptics were delivered through

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