Introduction: This report concerns the case of repeated multiple myopic shifts after uneventful cataract surgery. Patient and Clinical Findings: Multimodal anterior segment diagnostics showed flattening of the anterior chamber because of anterotation of the ciliary body being the mechanism leading to an intraocular lens (IOL) located far anterior to the desired position, while intraocular pressure remained at normal levels. The patient was very dissatisfied with the refractive outcome because a multifocal IOL had been implanted aiming for emmetropia. Diagnosis, Interventions, and Outcomes: Although treatment with cycloplegic agents could restore the desired position of the ciliary body and thus the lens, discontinuing the medication led to recurrences with incompliance complicating the postoperative course even further. Despite surgical options being available, medication was given for a longer period and a stable lens position and refraction was achieved without surgical intervention. This state was stable for the 6-month period of follow-up. Conclusions: This case shows that even repeated occurrences of this troublesome condition are worthwhile being treated conservatively.
Daniel M. Handzel (Thu,) studied this question.