A surgeon reported that 12 years after an intraocular lens (iol) was implanted, it was noted to be clouded, yet the patient's vision was still 20/20 without any continuous decrease indicated.Approximately 18 months later, the patient reported blurry vision.Exam determined that the iol was tilted and the capsule was turbid.The patient's intraocular pressure (iop) was increased to 40 millimeters of mercury (mmhg).The surgeon was suspicious that the lens was to blame, but was not sure.Glaucoma eye drop treatment decreased the iop to 25 mmhg.A month later the iop increased to 50 mmhg and vision decreased to 20/50.The lens and capsule were then explanted and another lens was stitched into place.
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