Multimodal Imaging of Posterior Dislocation of Crystalline Lens Nucleus following Vitrectomy

We present multi‐modal imaging of two phakic patients who developed lens nucleus dislocation following multiple complicated vitrectomy surgeries. We feel vitreoretinal physicians should be aware of this phenomenon and its presentation. To the best of our knowledge, high‐quality multi‐modal imaging of this presentation has not been published. Two phakic patients with moderate nuclear sclerosis underwent 25‐gauge pars plana vitrectomy (PPV). The first case underwent six PPV procedures; an initial macular hole repair was later complicated by rhegmatogenous retinal detachment, proliferative vitreoretinopathy, tractional retinal detachment and suprachoroidal hemorrhage. The patient noted a sudden change in vision on day 15 after the last surgery and posterior dislocation of the lens nucleus was detected. The second patient underwent PPV for traumatic vitreous hemorrhage, during which a retinal tear was found and repaired. This patient noted a sudden change in vision 3 months after the surgery. Multimodal Imaging of Posterior Dislocation of Crystalline Lens Nucleus following Vitrectomy