Dislocated Intraocular Lens

This 78 year old woman presented with complaints of forehead pressure and sudden loss of vision in the left eye for 1 week. She denied rubbing the eye or getting hit or bumped in the eye. The visual acuity was 20/30 in the right eye and 20/200 in the left eye. The slit lamp exam showed that she had had Descemet's stripping endothelial keratoplasty in both eyes and loose vitreous in the anterior chamber of the left eye. The fundus in the right was normal; the left had 1+ pigment in the vitreous and a dislocated posterior chamber intraocular lens implant (PCIOL) in the bag. (See image above). The patient was scheduled for a vitrectomy, removal of the dislocated PCIOL, and sutured PC IOL of the left eye.