Management of dislocated foldable intraocular lenses

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: Foldable intraocular lenses (IOLs) have replaced rigid IOLs as the standard for cataract surgery. As with their predecessors, some foldable IOLs manifest dislocation. The applicability of techniques developed for dislocated rigid IOLs to dislocated foldable IOLs has not been widely studied. Purpose: The purpose of this study was to evaluate the results of management techniques for dislocated foldable IOLs. Design: Retrospective, interventional case study. Results: Thirty-two eyes underwent repair including repositioning without scleral sutures (17 eyes), repositioning using scleral suture (8), and IOL exchange (7). IOL types included silicone plate IOLs (15 eyes), 3-piece acrylic IOLs (12), and others (5). The visual acuity outcomes and complication rates were similar for all IOL types and surgical techniques. Conclusion: With minimal modifications and a few important exceptions, previously reported techniques for management of dislocated IOLs, including repositioning with or without scleral suture fixation, may be applied effectively to many styles of foldable IOLs.

Original languageEnglish
Pages (from-to)576-580
Number of pages5
JournalRetina
Volume25
Issue number5
DOIs
StatePublished - Jul 1 2005

Fingerprint

Intraocular Lenses
Sutures
Lens Subluxation
Silicones
Cataract
Visual Acuity

Keywords

  • Foldable IOL
  • Intraocular lens (IOL)
  • Repositioning of IOL
  • Vitrectomy

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems

Cite this

Management of dislocated foldable intraocular lenses. / Smiddy, William E.

In: Retina, Vol. 25, No. 5, 01.07.2005, p. 576-580.

Research output: Contribution to journalArticle

@article{2837a168e8aa45c6a457f19c14ba0790,
title = "Management of dislocated foldable intraocular lenses",
abstract = "Background: Foldable intraocular lenses (IOLs) have replaced rigid IOLs as the standard for cataract surgery. As with their predecessors, some foldable IOLs manifest dislocation. The applicability of techniques developed for dislocated rigid IOLs to dislocated foldable IOLs has not been widely studied. Purpose: The purpose of this study was to evaluate the results of management techniques for dislocated foldable IOLs. Design: Retrospective, interventional case study. Results: Thirty-two eyes underwent repair including repositioning without scleral sutures (17 eyes), repositioning using scleral suture (8), and IOL exchange (7). IOL types included silicone plate IOLs (15 eyes), 3-piece acrylic IOLs (12), and others (5). The visual acuity outcomes and complication rates were similar for all IOL types and surgical techniques. Conclusion: With minimal modifications and a few important exceptions, previously reported techniques for management of dislocated IOLs, including repositioning with or without scleral suture fixation, may be applied effectively to many styles of foldable IOLs.",
keywords = "Foldable IOL, Intraocular lens (IOL), Repositioning of IOL, Vitrectomy",
author = "Smiddy, {William E}",
year = "2005",
month = "7",
day = "1",
doi = "10.1097/00006982-200507000-00006",
language = "English",
volume = "25",
pages = "576--580",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",
number = "5",

}

TY - JOUR

T1 - Management of dislocated foldable intraocular lenses

AU - Smiddy, William E

PY - 2005/7/1

Y1 - 2005/7/1

N2 - Background: Foldable intraocular lenses (IOLs) have replaced rigid IOLs as the standard for cataract surgery. As with their predecessors, some foldable IOLs manifest dislocation. The applicability of techniques developed for dislocated rigid IOLs to dislocated foldable IOLs has not been widely studied. Purpose: The purpose of this study was to evaluate the results of management techniques for dislocated foldable IOLs. Design: Retrospective, interventional case study. Results: Thirty-two eyes underwent repair including repositioning without scleral sutures (17 eyes), repositioning using scleral suture (8), and IOL exchange (7). IOL types included silicone plate IOLs (15 eyes), 3-piece acrylic IOLs (12), and others (5). The visual acuity outcomes and complication rates were similar for all IOL types and surgical techniques. Conclusion: With minimal modifications and a few important exceptions, previously reported techniques for management of dislocated IOLs, including repositioning with or without scleral suture fixation, may be applied effectively to many styles of foldable IOLs.

AB - Background: Foldable intraocular lenses (IOLs) have replaced rigid IOLs as the standard for cataract surgery. As with their predecessors, some foldable IOLs manifest dislocation. The applicability of techniques developed for dislocated rigid IOLs to dislocated foldable IOLs has not been widely studied. Purpose: The purpose of this study was to evaluate the results of management techniques for dislocated foldable IOLs. Design: Retrospective, interventional case study. Results: Thirty-two eyes underwent repair including repositioning without scleral sutures (17 eyes), repositioning using scleral suture (8), and IOL exchange (7). IOL types included silicone plate IOLs (15 eyes), 3-piece acrylic IOLs (12), and others (5). The visual acuity outcomes and complication rates were similar for all IOL types and surgical techniques. Conclusion: With minimal modifications and a few important exceptions, previously reported techniques for management of dislocated IOLs, including repositioning with or without scleral suture fixation, may be applied effectively to many styles of foldable IOLs.

KW - Foldable IOL

KW - Intraocular lens (IOL)

KW - Repositioning of IOL

KW - Vitrectomy

UR - http://www.scopus.com/inward/record.url?scp=23044439279&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=23044439279&partnerID=8YFLogxK

U2 - 10.1097/00006982-200507000-00006

DO - 10.1097/00006982-200507000-00006

M3 - Article

C2 - 16077353

AN - SCOPUS:23044439279

VL - 25

SP - 576

EP - 580

JO - Retina

JF - Retina

SN - 0275-004X

IS - 5

ER -