Double crisis: A case of late bilateral consecutive spontaneous intra-ocular lens dislocation in the absence of identifiable systemic disease

A 56-year-old gentleman presented with decreased vision in the right eye (OD) since 1 month and in the left eye (OS) since 1 year. He denied history of trauma. Fifteen years ago, he had undergone uneventful phaco-emulsification in both eyes (OU). Slit-lamp examination showed OU aphakia. Fundus examination revealed an OU posteriorly dislocated intra-ocular lens (IOL). He underwent vitrectomy with IOL removal, followed by scleral fixated IOL placement, initially in OS, followed by OD after 1 week. At 6 weeks, he had 20/30 vision in OD and 20/40 in OS.