To describe a Double flange Technique in a 28-year-old gentleman with dislocated intraocular lens (IOL), cyclodialysis cleft with secondary hypotony and retina folds.
A 28-year-old gentleman with history of congenital cataract right eye, cataract extraction in 1999 and sutured IOL in 2011, presented with a triple trouble: dislocated intraocular lens, cyclodialysis cleft with secondary hypotony, retina folds and hemorrhagic choroidals. He underwent two unsuccessful surgeries to correct the dislocated IOL by another retina surgeon. He was referred for surgical management of this triple trouble.
We described a double flange technique to reposition the IOL. Silicon oil was placed for the management of the cyclodyalisis cleft, hypotony and choroidals. Two months after the VA was 20/80, the IOL was in good position and the cyclodialysis cleft resolved.
A dislocated IOL can be successfully rescue with a double flange technique. A cyclodyalisis cleft can be managed with silicone oil as internal tamponate.
The authors have no financial interests in any material discussed in this article. There are no conflicts of interest to disclose.