Year: 2026 | Month: May | Volume: 13 | Issue: 5 | Pages: 398-402
DOI: https://doi.org/10.52403/ijrr.20260535
Late Intraocular Lens Subluxation in a High Myopic Eye with Missed Capsular Support: A Case Report
Hasnania Rilanty Munaf1, Ni Made Dwipayani2
1General Practitioner, 2Ophthalmologist,
Wangaya Regional Hospital, Bali, Indonesia.
Corresponding Author: Hasnania Rilanty Munaf
ABSTRACT
Late intraocular lens (IOL) subluxation is a recognized long-term complication following cataract surgery and may present with subtle symptoms that delay diagnosis. We report a 59-year-old female with high axial myopia who presented with progressive blurred vision and monocular diplopia in the right eye over three years. She had undergone cataract surgery seven years prior. Examination revealed iridodonesis, a decentered and tilted posterior chamber IOL, and a posterior capsular defect. Axial length measurement confirmed high myopia (28.05 mm), while biometric assessment was unreliable due to IOL tilt. A diagnosis of late IOL subluxation secondary to progressive zonular insufficiency with capsular compromise was established. This case highlights high myopia as a predisposing factor for delayed IOL instability, which may be exacerbated over time in the absence of additional capsular support.
Keywords: Intraocular lens subluxation; High myopia; Zonular insufficiency; Capsular tension ring; Monocular diplopia; Cataract surgery complications
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