Repositioning a posteriorly dislocated silicone plate-haptic toric intraocular lens
Alexandra J Van Brummen1, Eric L Crowell2, Layla M Ghergherehchi2
1Ruiz Department of Ophthalmology and Visual Science, McGovern Medical School at The University of Texas Health Science Center in Houston, Houston, Texas, USA.
Abstract:
We describe a technique for repositioning an encapsulated, posteriorly dislocated silicone plate-haptic toric intraocular lens (IOL) while preventing further dislocation into the vitreous cavity. Sutures of 10-0 polypropylene were used to ensure safe retrieval of the dislocated IOL. An anterior vitrectomy was then performed to remove the contracted capsular bag around the IOL. The IOL fixation hole was temporarily externalized to allow quick and secure IOL fixation, eliminating the risk for losing the slippery silicone IOL into the vitreous cavity. Using this technique, the IOL was successfully placed in the proper position and resulted in good vision for the patient while avoiding the trauma of lens exchange.
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