In-the-bag intraocular lens dislocation.

Abstract:

PURPOSE:To describe the presenting characteristics and management alternatives of posterior chamber intraocular lens (PC-IOL) dislocation secondary to dehiscence of the zonules supporting the capsular bag. DESIGN:Observational case series. METHODS:Multicenter retrospective analysis of the surgical treatment and predisposing factors associated with 25 eyes of 22 patients with dislocation of the PC-IOL encased within the capsular bag secondary to dehiscence of the zonules supporting the capsular bag. RESULTS:The dislocated in-the-bag PC-IOL was replaced with an anterior chamber intraocular lens in 60% or repositioned/exchanged and scleral fixated in 40% of eyes. Associated conditions included pseudoexfoliation syndrome 44%, uveitis 16%, and trauma 16%. There was no identifiable cause in 24% of eyes. CONCLUSIONS:In-the-bag PC-IOL dislocations are an unusual, sometimes bilateral, late complication of cataract surgery that can be managed by exchange with an anterior chamber intraocular lens or by PC-IOL repositioning or replacement with scleral fixation. The most common associated condition was pseudoexfoliation.

journal_name

Am J Ophthalmol

authors

Gross JG,Kokame GT,Weinberg DV,Dislocated In-The-Bag Intraocular Lens Study Group.

doi

10.1016/j.ajo.2003.10.037

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

630-5

issue

4

eissn

0002-9394

issn

1879-1891

pii

S0002939403013242

journal_volume

137

pub_type

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