Severely subluxated crystalline lens

Le résumé fourni par la source

A 52-year-old man presented with left eye blurring of vision for 4 days. He had undergone right phacoemulsification with capsular tension ring (CTR) and an extended depth-of-focus (EDOF) intraocular lens (IOL) 7 years prior. He denied trauma. The uncorrected vision in the right eye was 20/20, N5 for near, and left 20/60, N26 for near. The left eye had a phacodonetic mild nuclear sclerotic cataract with vitreous in the pupil inferior temporally (Figure 1 JOURNAL/jcrsoc/04.03/02158035-202501000-00034/figure1/v/2025-10-23T164716Z/r/image-tiff ). The right IOL was stable and centered. The rest of the ocular examination in both eyes, including intraocular pressures, was normal. Ultrasound biomicroscopy of the left eye revealed near total zonular loss, with only the zonular fibers at the 11 o'clock location intact, with resultant posterior lens subluxation (Figure 2 JOURNAL/jcrsoc/04.03/02158035-202501000-00034/figure2/v/2025-10-23T164716Z/r/image-tiff ). Describe how you would manage the case, and which type of IOL you would offer the patient.

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