Double Intraocular Lens: Dislocated One into Vitreous and Implanted One into Posterior Chamber

Phaco-emusification is the most preferred technic at cataract surgery. Rate of dislocated intraocular lens (IOL) into the vitreous has been increased in this surgery. We reported here the results of a case who has dislocated IOL into the vitreous at the time of phaco-emulsification surgery and posterior chamber IOL located to sulcus at a secondary surgical procedure. If the patients have dislocated IOL into the vitreous and they have not any complication and visual acuity loss; IOL can be remain at the place of dropped. However, increasing risk of cystoid macular edema and retinal detachment should be remember, and these cases should be follow closely.

The Educational Travails of a Visually-Impaired 25 Year-Old Nigerian University Student with Stargardt’s Disease

Stargardt’s disease is probably under-diagnosed in sub-Saharan Africa as its subtle macular changes in the earlier stages of the disease are often out of proportion to the bilateral gradual impairment of central vision. In addition, the paucity of well-equipped eye clinics manned by trained retinal sub-specialists makes the detection of the disease a rare event. We present a patient in whom we made a diagnosis of Stargardt’s disease on clinical grounds in Nigeria and who subsequently had corroboratory fundus angiographic and
electro diagnostic tests in the United Kingdom. The patient, who was already severely visually incapacitated in his mid-twenties, had to abandon medical studies for a perceived less visually demanding one. His hope for a restoration of his eyesight now rests on the promising advances being made in gene and stem cell therapy.

Lymphomatous Optic Nerve Infiltration in Paediatric Cases

We describe 2 children with stage IV anaplastic lymphoma with optic neuropathy due to optic nerve infiltration. Both children had an established diagnosis of anaplastic lymphoma prior to their ocular symptoms. Common symptoms included visual blurring and ocular pain, and examination revealed optic nerve head infiltration. Although one patient responded initially to systemic chemotherapy agents, both had residual severe visual impairment secondary to their optic nerve lesion and to the toxic effects of treatment for their central nervous system disease.
Anaplastic lymphoma is a rare cause of optic neuropathy. This is the first report of children with such a diagnosis with visual follow up; the visual prognosis seems to be poor and very resistant to treatment.

Spontaneous Resolution of Retinal Detachment Only After Barrage Laser Photocoagulation in a Patient with Inadvertent Scleral Perforation during Retrobulbar Anesthesia: A Case Report

Inadvertent scleral perforation during cataract surgery is not a common but a serious complication of retrobulbar anesthesia. The majority of cataract surgeries in adults is performed under retrobulber, peribulbar or topical anesthesia. The high myopia is a risk factor for scleral perforation during peribulbar or retrobulbar anesthesia. In this case sclera was perforated during retrobulbar anesthesia and we present management and follow-up from baseline to 41 months.