ABSTRACT
Dislocation of the ACIOL into the vitreous cavity is relatively infrequent in comparison to the posterior chamber IOL (PCIOL). However, the ACIOL may dislocate during trauma, particularly in the presence of a large sector iridectomy. A subluxated or posteriorly dislocated ACIOL may be simply repositioned into the anterior chamber.1,2 If the dislocated ACIOL is attached to formed vitreous or is sitting deep in the posterior vitreous cavity, an initial partial vitrectomy to eliminate the vitreoretinal traction is preferred before the repositioning or removal of the ACIOL.2 If there is any substantial anterior segment injury associated with the dislocation (e.g. marked iridodialysis, large hyphema, excessive angle damage, etc.), it is best to remove the dislocated ACIOL through a limbal incision.
