This 80YO female presented with subacute, painless vision loss in her left eye. Previously, she had been treated for macular neovascularization from ocular histoplasmosis but had been lost to follow-up.
Optos imaging shows a 3-piece intraocular lens with an intact capsule settled in the inferior midperiphery.
She denied any trauma, and previous exams showed no zonular dehiscence. The cataract surgery had been performed nearly 25 years earlier.
The lens will be explanted during vitrectomy with placement of a scleral-fixated lens.
