A comparison of visual results and complications in eyes with posterior chamber intraocular lens dislocation treated with pars plana vitrectomy and lens repositioning or lens exchange

Sarrafizadeh, Ramin; Ruby, Alan; Hassan, Tarek; Williams, George A.; Garretson, Bruce R.; Trese, Michael T.; Margherio, Raymond R.

doi:10.1016/s0161-6420(00)00410-3

Cited by 82 publications

(62 citation statements)

References 30 publications

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“…Sarrafizadeh et al reported similar final visual outcomes between eyes that underwent IOL repositioning and eyes that underwent IOL exchange with implantation of an ACIOL. This study also demonstrated a higher rate of postoperative IOL subluxation following the use of IOL repositioning compared to IOL exchange (21% vs 3%) (8) . Steinmetz et al reported outcomes following PCIOL removal and ACIOL implantation.…”

Section: Discussionsupporting

confidence: 58%

“…Complications associated with IOL dislocation include glaucoma and posterior segment pathologies. In a previous study, posterior segment pathology (retinal detachment) as a complication of treatment of IOL dislocation was reported in 10% of cases (8) . In another study, cystoid macular edema was reported as a complication in 22% of cases of IOL dislocation (16) .…”

Section: Discussionmentioning

confidence: 92%

“…Surgical options for dislocated IOLs include repositioning, replacement, re-localization to the ciliary sulcus, suturing to the scleral wall, suturing to the iris, and explantation of the IOL (5)(6)(7)(8) . Currently, there is a lack of reports regarding treatment outcomes following IOL dislocation.…”

Section: Introductionmentioning

confidence: 99%

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Surgical management of intraocular lens dislocations

Gül¹,

Duran²,

Can³

et al. 2015

Arquivos Brasileiros De Oftalmologia

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Purpose: To report and compare the surgical, visual, and anatomical outcomes following treatment of dislocated intraocular lenses (IOLs). Methods: The medical records of 28 eyes of 28 patients were evaluated. Age, gender, pre-and postoperative best-corrected visual acuity (BCVA), surgical methods, and complications were recorded. Results: Pre-and postoperative BCVA ranged from counting fingers to 20/32 and from counting fingers to 20/25, respectively. Late-onset dislocations were the most frequently observed complication. The most frequent surgical method was IOL repositioning in 15 of 28 patients, followed by IOL exchange in 11 patients, and IOL removal in 2 patients. Only 1 patient required surgical re-intervention with IOL capture. Conclusions: Visual acuity improved following the use of either IOL repositioning or IOL exchange. No superiority of one method over the other was observed.In the present retrospective case series, management of dislocated IOLs with repositioning or exchange of the primary implant conferred comparable surgical and visual outcomes. Keywords

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Section: Discussionsupporting

confidence: 58%

Section: Discussionmentioning

confidence: 92%

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Surgical management of intraocular lens dislocations

Gül¹,

Duran²,

Can³

et al. 2015

Arquivos Brasileiros De Oftalmologia

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“…1 Management options for a posterior chamber IOL (PCIOL) have been extensively presented. [2][3][4] In unusual circumstances, a second IOL is implanted without removing a dislocated PCIOL, usually when the first IOL dislocates during cataract surgery. Although this may be well tolerated, the initial PCIOL may cause sufficient visual symptoms to require surgical management, much the same as for a solo PCIOL.…”

Section: Jama Ophthalmol 2013;131(1):86-88mentioning

confidence: 99%

Management of 2 Intraocular Lenses in the Same Eye

Emanuelli

Smiddy

2013

JAMA Ophthalmol

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To present options for managing a patient with a dislocated intraocular lens (IOL) in the presence of a second, nondislocated IOL.Methods: A review of 3 consecutive cases and the surgical maneuvers used in managing them.Results: The anterior chamber IOL was removed after scleral fixating the dislocated posterior chamber IOL in 1 case with corneal disease. The foldable, dislocated, original posterior chamber IOL was manipulated around an

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“…This procedure is associated with an increased risk of infection at the incision, possibly resulting in corneal edema, damage to the corneal endothelium, and increased postoperative astigmatism. 1 Moreover, the other, well-fi xed haptic must be cut before the IOL can be removed, even when the haptic externalization technique is used. This may not be easy, especially in cases with fi brotic changes.…”

Section: Commentmentioning

confidence: 99%