{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T06:35:40Z","timestamp":1769409340247,"version":"3.49.0"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>Dislocation of the intraocular lens after cataract surgery is uncommon but can cause a serious complication. We present a rare case of a patient with a dislocated posterior chamber intraocular lens and subluxated anterior chamber intraocular lens in the same eye, including its management, complications, and visual outcomes. A 65-year-old man with a history of cataract surgeries was found to have two displaced intraocular lenses in one eye, one subluxated within the anterior chamber and another dislocated into the vitreous cavity. Surgical procedures were performed to remove both displaced intraocular lenses, followed by the management of postoperative complications. After removal of intraocular lens implants via pars plana vitrectomy and insertion of scleral-fixated intraocular lens, the patient developed postoperative cystoid macular edema and epiretinal membrane. Subtenon triamcinolone acetonide injection partially resolved the cystoid macular edema, and the visual outcome was satisfactory. Understanding this case may aid in surgical planning and facilitate effective postoperative management of complications, ultimately leading to an optimal visual outcome.<\/jats:p>","DOI":"10.1177\/2050313x251408229","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T08:31:31Z","timestamp":1766133091000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of sequential intraocular lens dislocations in a single eye following prior complicated cataract surgery: A case report"],"prefix":"10.1177","volume":"13","author":[{"given":"Jacqueline Ying","family":"Liew","sequence":"first","affiliation":[{"name":"School of Medicine, IMU University, Kuala Lumpur, Federal Territory of Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0351-7406","authenticated-orcid":false,"given":"Pui Theng","family":"Yong","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Centre for Rehabilitation and Special Needs Study, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela Voon Pei","family":"Loo","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Malaya Specialist Centre, Kuala Lumpur, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiunn Loong","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Universiti Tunku Abdul Rahman, Kajang, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Visvaraja","family":"Subrayan","sequence":"additional","affiliation":[{"name":"Top Vision Eye Specialist Centre, Setia Alam, Shah Alam, Selangor, Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessie Wei","family":"Liew","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2023.06.001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2023.01.019"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-022-02529-6"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-05394-8_86"},{"key":"e_1_3_3_6_2","unstructured":"American Academy of Ophthalmology. Ab externo scleral fixation technique https:\/\/www.aao.org\/education\/image\/ab-externo-scleral-fixation-technique (n.d. accessed 21 October 2025)."},{"key":"e_1_3_3_7_2","unstructured":"Hoang A Williams L. Lens and cataract ophthalmic pearls: management of dislocated IOLs. EyeNet https:\/\/www.aao.org\/Assets\/1760ca7c-6043-46c5-9811-2ddf6758d185\/637829891394100000\/april-2022-ophthalmic-pearls-pdf#:~:text=Management%20can%20generally%20be%20divided the%20IOL%2C%20and%20IOL%20exchange.&text=dislocation%20is%20mild%2C%20asymptomatic%2C%20and comorbidities%20that%20make%20surgery%20inadvisable (2022 accessed 7 January 2024)."},{"key":"e_1_3_3_8_2","unstructured":"Kent C. Out with the old successful IOL exchange. Review of Ophthalmology https:\/\/www.reviewofophthalmology.com\/article\/out-with-the-old-successful-iol-exchange (2021 accessed 7 January 2024)."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sjopt.2011.01.013"},{"key":"e_1_3_3_10_2","unstructured":"Solley W. Removing an IOL from the vitreous cavity: a new approach eliminates the need for a limbal incision and proves to be more efficient. Retinal Physician https:\/\/retinalphysician.com\/issues\/2011\/novdec\/removing-an-iol-from-the-vitreous-cavity\/ (2011 accessed 7 January 2024)."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00433-2"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clae.2013.07.010"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2013.563"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/cxo.12674"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijo.IJO_2912_21"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/IAE.0b013e318219e66f"},{"issue":"1","key":"e_1_3_3_17_2","first-page":"2","article-title":"Double intraocular lens: dislocated one into vitreous and implanted one into posterior chamber","volume":"2","author":"Turgut B","year":"2013","unstructured":"Turgut B, Can N, Demir T, et al. 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