Related Experiment Video
Updated: May 15, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Management of 2 intraocular lenses in the same eye
Andrés Emanuelli1, William E Smiddy
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Florida 33136, USA.
Objective:
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 existing posterior chamber IOL and then removed at the limbus in 2 other cases. The visual acuity and retained IOL were stable in all 3 eyes.
Conclusions:
Existing techniques with minimal modifications can be applied to managing an eye with a dislocated IOL and a coexisting nondislocated IOL with satisfactory results, but treatment needs to be customized to the specific situation.
Related Concept Videos
Angle Closure Glaucoma: Treatment
Glaucoma: Overview
Open Angle Glaucoma: Treatment
Drugs such as carbonic anhydrase inhibitors, α2- and...
Ophthalmic Drug Delivery Systems
Focusing of Light in the Eye

