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Clinical management of posterior chamber intraocular lens implants dislocated in the vitreous cavity
1Retina Service, Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Background And Objective:
To discuss the options for management and review the authors' experience with dislocated posterior chamber intraocular lens implants.
Patients And Methods:
A retrospective review was performed over a 3-year period of 12 consecutive patients with posterior chamber intraocular lens (PC IOL) implants dislocated into the vitreous cavity. The patients were managed with pars plana vitrectomy, repositioning or exchange, and transscleral suture fixation of the PC IOL.
Results:
The visual acuity was 20/50 or better in 9 patients and the transscleral suture fixated PC IOL was in good position in 12 patients at the most recent follow-up. Perioperative complications included corneal edema, cystoid macular edema, retinal breaks and detachments, and suture erosion.
Conclusion:
Visual and anatomic outcomes were favorable.