Surgical management of intraocular lens dislocations

Gül, Adem; Duran, Mustafa; Can, Ertuğrul; Yücel, Özlem Eşki; Süllü, Yüksel

doi:10.5935/0004-2749.20150082

Cited by 2 publications

(4 citation statements)

References 20 publications

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“…We found that pseudoexfoliation is a particularly strong risk factor for late in-the-bag IOL dislocation after cataract surgery; it was mentioned in 8 [9,11,14,15,19,20,22,24] of the 14 studies included in our review. Pseudoexfoliation can lead to zonular injury and progressive anterior capsulorhexis contraction.…”

Section: Discussionmentioning

confidence: 95%

“…Quality assessment of the RCT indicated a low risk of bias [14,16,17]. Three studies received a score≥15 [7,15,21]; 8 studies, a score of 10–15 [9–11,18–20,22,24]; and 2 study, a score <10 [23,25].…”

Section: Resultsmentioning

confidence: 99%

“…This alters the position of the IOL-bag complex, ultimately dislocating it [12,32,33]. Other risk factors for IOL dislocation included trauma [7,9,11,14,18,21], high myopia [11,14,24], previous intraocular surgery [14,18–20], capsulotomy or capsular rupture [7,11,18–20,23], uveitis [9,10,14], Marfan’s syndrome [24], retinitis pigmentosa [5].…”

Section: Discussionmentioning

confidence: 99%

“…Optimal management for IOL dislocation remains controversial. Several studies have compared various procedures [5,7,9–11,15–25], but the conclusions are conflicting. Here we examined the available literature to compare the efficacy and safety of IOL repositioning and IOL exchange for treating IOL dislocation.…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of intraocular lens dislocation: A meta-analysis

et al. 2019

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Purpose To compare the efficacy and safety of intraocular lens (IOL) repositioning and IOL exchange for the treatment of patients with IOL dislocation. Methods We systematically searched for relevant publications in English or Chinese in MEDLINE, Embase, the Cochrane Central Register of Controlled Trials, WHO International Clinical Trial Registration Platform, Clinical Trial.gov, China Biology Medicine Database, China National Knowledge Infrastructure Database and grey literature sources. Study quality was assessed using the STROBE template for observational studies and the Cochrane template for randomized controlled trials (RCTs). Data were meta-analyzed using RevMan 5.3. Results The review included 14 English-language studies reporting 1 RCT and 13 retrospective case series involving 1,082 eyes. Average follow-up time was 13.7 months. Pooled analysis of 10 studies showed that the two procedures had a similarly effect on best corrected visual acuity (MD -0.00, 95%CI: -0.08 to 0.08, P = 0.99). Pooled analysis of nine studies showed no significant difference in incidence of IOL redislocation (RR 2.12, 95%CI 0.85 to 5.30, P = 0.11); pooled analysis of seven studies showed greater extent of incidence of cystoid macular edema in IOL exchange (RR 0.47, 95%CI 0.21 to 1.30, P = 0.06). Pooled analysis of three studies showed greater extent of incidence of anterior vitrectomy in IOL exchange (RR 0.11, 95%CI 0.04 to 0.33, P<0.0001). Pooled analysis of two studies showed greater postoperative spherical equivalents in IOL repositioning (MD 1.02, 95%CI 0.51 to 1.52, P<0.0001). pooled analysis suggested no significant differences between the two procedures in terms of intraocular pressure, endothelial cell density, surgically induced astigmatism, or incidence of retinal detachment, intraocular hemorrhage or pupillary block. Conclusion IOL repositioning and exchange are safe and effective procedures for treating IOL dislocation. Neither procedure significantly affects best corrected visual acuity and IOL redislocation. IOL exchange was superior to repositioning in terms of postoperative SE, but IOL repositioning was associated with lower incidence of anterior vitrectomy, potentially lower incidence of cystoid macular edema.

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Section: Discussionmentioning

confidence: 95%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical management of intraocular lens dislocation: A meta-analysis

et al. 2019

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Assessment of Risk Factors for the Development of Late Intraocular Lens Dislocation

et al. 2021

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Dislocation of intraocular lens is a serious complication of phacoemulsification with implantation of intraocular lens. Among the causes of early dislocation of intraocular lens intraoperative complications predominate, as well as various form of their mixed fixation. In the late postoperative period, dislocation of the capsular bag-intraocular lens complex mainly occurs, the main reasons for which are the zonular weakness and the failure of the capsular bag support or its fibrosis.Purpose: to assess the influence of various factors on the development of late IOL dislocation (both in the capsular bag and without it) requiring surgical correction.Patientes and methods. The study included 78 patients (78 eyes) who were underwent surgical treatment of varying degree of IOL dislocation from October 2018 to April 2020. The control group consisted of 62 patients recruited for surgical treatment of cataract at the same period. The main factors for assessment were the following: axial myopia (≥26 mm), previous vitreoretinal surgery, recurrent uveitis, primary glaucoma, retinitis pigmentosa, and the use of the capsular tension ring during phacoemulsification.Results. Among the factors studied, the following risk factors of late IOL dislocation were revealed: age, gender, the presence of pseudoexfoliation syndrome, axial myopia, primary glaucoma, implantation of the capsular tension ring. Conclusion. Phacoemulsification is the standard surgical treatment of cataract. However, in patients with potential risk factors of developing IOL dislocation, surgeons should consider the use of additional IOL fixation.

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Surgical management of intraocular lens dislocations

Cited by 2 publications

References 20 publications

Surgical management of intraocular lens dislocation: A meta-analysis

Surgical management of intraocular lens dislocation: A meta-analysis

Assessment of Risk Factors for the Development of Late Intraocular Lens Dislocation

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