Multicenter survey on implantable collamer lens dislocation

PLoS One. 2022 Feb 14;17(2):e0264015. doi: 10.1371/journal.pone.0264015. eCollection 2022.


This study aimed to investigate the incidence, patient background, and postoperative prognosis of implantable collamer lens (ICL) dislocation. We retrospectively reviewed all cases of ICL dislocation at four major refractive surgery centers in Japan until December 2019. The incidence, patient background, cause of dislocation, complications of repositioning surgery, and postoperative visual function were investigated. Seven ICL dislocations [0.072% of total ICL-implanted eyes (9775 eyes)] occurred at an average of 28.6 months (11-82 months) postoperatively. All patients were male. Five eyes were injured during sports activities, one due to a fall from a bicycle, and another due to ocular blunt trauma caused by a mortuary tablet. Two patients had re-dislocation in the same eye. Retinal detachment occurred after repositioning surgery in one patient, and scleral buckling surgery was performed without ICL removal. ICL dislocation is a rare complication of ICL surgery; repositioning surgery is effective, but retinal complications may occur.

Publication types

  • Multicenter Study

MeSH terms

  • Accidental Falls / statistics & numerical data*
  • Adult
  • Athletic Injuries / complications
  • Athletic Injuries / epidemiology*
  • Humans
  • Incidence
  • Japan / epidemiology
  • Lens Implantation, Intraocular / methods*
  • Lens Subluxation / epidemiology*
  • Lens Subluxation / etiology
  • Male
  • Myopia / surgery*
  • Prognosis
  • Reoperation / statistics & numerical data
  • Retrospective Studies
  • Treatment Outcome
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / epidemiology*

Grant support

The authors received no specific funding for this work.