Table 1: Review of cases of ICL dislocation after trauma.

Case Age/
Gender/Eye
Mechanism Timing After implantation Description of Dislocation Associated Findings Initial VA Treatment Post VA Endothelial Failure
Kaufer et al. 2005 30yoM
Right eye
Spontaneous 5 years 2 inferior footplates subluxed and decentered through dehisced zonules, ICL did not enter anterior chamber. Zonular dehiscence CF Explanted ICL. Not reported None mentioned.
Kong et al. 2010 31yoM
Right Eye
Severe occipital injury in dark room 4 months 1 footplate of the ICL entered the AC and was entrapped in the pupillary aperture infero-nasally. No endothelial touch. None 20/200 Repositioned ICL. 20/20 None mentioned.
Song et al. 2005 33yoF
Left eye
Unspecified blunt ocular trauma 10 months 1 footplate of the ICL entered the AC and was entrapped in the pupillary aperture infero-nasally. No endothelial touch. 4+ cell in AC and medial orbital wall fracture Not reported Repositioned ICL. 20/32 Normal endothelial cell characteristics post-op.
Schimtz et al. 2012 26yoM
Left eye
Fist 6 months 2 temporal footplates of the ICL entered the AC and were entrapped in the pupillary aperture. No endothelial touch. 1+ AC cell. Notching in pupillary sphincter 20/30 Repositioned ICL. 20/20 None mentioned.
Espinosa-Mattar 2012 39yoF
Right eye
Unspecified blunt ocular trauma 6 years 1 footplate of the ICL entered the AC and was entrapped in the pupillary aperture infero-temporally. Significant endothelial touch was noted. IOP elevated to 30 20/60 Repositioned ICL. 20/40 Significant decrease in ECC and increase in CCT after repositioning. Eventually required DSAEK.

AC = anterior chamber. CCT = Central corneal thickness. CF = count fingers. ECC = Endothelial cell count. ICL = Implantable Collamer Lens (Staar Surgical, Monrovia, California, USA). IOP = Intraocular pressure.