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Related Experiment Videos

In-the-bag intraocular lens dislocation.

Jeffrey G Gross1, Gregg T Kokame, David V Weinberg

  • 1Carolina Retina Center, Columbia, South Carolina 29223, USA. email@CarolinaRetinaCenter.com

American Journal of Ophthalmology
|April 3, 2004
PubMed
Summary
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Late dislocation of posterior chamber intraocular lenses (PC-IOL) within the capsular bag is a rare complication. Management includes anterior chamber lens exchange or PC-IOL repositioning with scleral fixation.

Area of Science:

  • Ophthalmology
  • Surgical Complications
  • Intraocular Lenses

Background:

  • Posterior chamber intraocular lens (PC-IOL) dislocation within the capsular bag, secondary to zonular dehiscence, is an uncommon complication.
  • This condition can manifest as a late sequela of cataract surgery.

Purpose of the Study:

  • To characterize the presentation and management options for PC-IOL dislocation.
  • To identify predisposing factors associated with this complication.

Main Methods:

  • Multicenter retrospective analysis of 25 eyes from 22 patients.
  • Surgical treatments and predisposing factors for in-the-bag PC-IOL dislocation were reviewed.

Main Results:

  • Common management involved exchange for an anterior chamber intraocular lens (60%) or scleral fixation (40%).

Related Experiment Videos

  • Pseudoexfoliation syndrome (44%) was the most frequent associated condition, followed by uveitis and trauma (16% each).
  • No identifiable cause was found in 24% of cases.

    • Conclusions:

    • In-the-bag PC-IOL dislocations are unusual, potentially bilateral, late complications of cataract surgery.
    • Management strategies include anterior chamber intraocular lens exchange or PC-IOL repositioning/exchange with scleral fixation.
    • Pseudoexfoliation syndrome is the most common associated condition.