Management of subluxated and posteriorly dislocated intraocular lenses using pars plana vitrectomy instrumentation

Research output: Contribution to journalArticle

38 Scopus citations

Abstract

Thirty-four patients with subluxated and posteriorly dislocated intraocular lenses (IOLs) had repositioning, replacement, or removal of the IOL using pars plana instrumentation. Of the 25 cases posteriorly dislocated into the formed vitreous, ten posterior chamber IOLs were repositioned into the ciliary sulcus, one anterior chamber IOL was repositioned into the anterior chamber angle, and eight posterior chamber IOLs were exchanged for anterior chamber IOLs through a limbal incision. In the remainign six cases, the IOL was removed but was not replaced because of concurrent ocular pathology. In nine cases with subluxation of an anterior chamber IOL into a large basal iridectomy, a pars plana approach after vitrectomy was used for repositioning, the IOL into the anterior chamber angle. Complications included each of the following: intraoperative retinal dialysis, postoperative extension of a pre-existing subclinical retinal detachment, recurrent subluxation of an anterior chamber IOL, breakdown of chronic cystoid macular edema to form a macular hole, and pseudophakic pupillary block requiring laser iridotomy.

Original languageEnglish (US)
Pages (from-to)51-56
Number of pages6
JournalJournal of cataract and refractive surgery
Volume16
Issue number1
DOIs
StatePublished - Jan 1 1990

Keywords

  • dislocated intraocular lens
  • iris fixation suture
  • pars plana vitrectomy
  • sublusated anterior chamber intraocular lens

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology
  • Sensory Systems

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