Dr.ANWESHA CHAKMA

Dr. PEREIRA SAVIO, DR. RESHMA PADMARAM NAIR, Dr.Monika Kapoor, Dr. SRI GANESH

Abstract

A 60 years old female with type 2 iridofundal coloboma in RE underwent cataract surgery with CTR + PCIOL implantation 17 years back, presented with a chief complaint of loss of vision associated with floaters.On examination peripheral corneal BSK with significant iridodonesis with inferior iris coloboma was noted with dislocated CTR bag IOL complex (Akreos).Fundus examination showed inferior coloboma with shallow RD. Patient was managed by PPV+PFCL+trancleral fixation of the same CTR IOL BAG complex with four flange technique+SRFD+fluid air exchange+endo laser+SOI.To the best of our knowledge,this is the first case report where the four flange hybrid (ab interno and ab externo) technique has been performed for fixing the same dislocated CTR IOL BAG complex without making any additional sclerocorneal incision.Post operative check up showed a stable iol with no tilt and retina was attached.This technique proves that similar dislocated/subluxated iols can be tackled with good results.