PMC8832095_01
Dislocation of the Ejinn phakic refractory lens (EPRL). (A) Slit-lamp examination shows subluxation of the EPRL, which was observed when the patient visited our center due to complaining of suddenly blurred vision of right eye at 26 months post-operatively. (B) Luxation into the vitreous cavity of the EPRL revealed by fundus photography. (C) Slit-lamp examination shows the position of crystalline lens after the luxation into the vitreous cavity of the EPRL.
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F1
Slit-lamp examination showed dislocation of the EPRL (Figure 1A). No phacodonesis or significant zonular weakness was observed in this eye (Figure 1C). Fundus examination showed a luxated EPRL located in front of the retina (Figure 1B).
The technique of EPRL removal and the rupture of zonular fibers. (A) The EPRL was grasped and cut into two equal pieces along the long axis. (B) Half of EPRL (black arrow) was extracted through a 2.5 mm sclerotomy. (C) Rupture of zonular fibers and focal dislocation of the lens at nasal inferior (black arrowhead) was observed through an operating microscope when the patient lay on the operating table.
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F2
Once floating on the top of the fluorinated perfluorocarbon bubble, the EPRL was grasped and cut into two equal pieces along the long axis (Figure 2A). Then, foreign forceps were used to gently grab each piece and remove them from the vitreous cavity (Figure 2B) through temporal sclerotomy, which was enlarged into 2.5 mm.