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Kirşehi?r Ahi? Evran Üni?versi?tesi?, Göz, Kirşehi?r, Türkiye DOI : 10.37844/TJ-CEO.2025.20.10 A 64-year-old man who underwent a secondary 3-piece intraocular lens implantation (IOL) 2 years ago applied with decreased vision. There was a partial IOL capture and one haptic had perforated iris at two sites and was seen anterior to the iris surface. Fundus examination revealed macular edema. Topical nepafenac was initiated, however there was no improvement. Macular edema resolved following repositioning of the IOL and visual acuity improved. Lens dislocation and iris perforation by haptic can result in severe complications on the macula. Keywords : 3-piece intraocular lens, dislocation, haptic, iris perforation, macular edema