In-the-bag intraocular lens dislocation - 25/08/11
, Gregg T. Kokame, MD b, David V. Weinberg, MD cDislocated In-The-Bag Intraocular Lens Study Group
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.
Le texte complet de cet article est disponible en PDF.Plan
Vol 137 - N° 4
P. 630-635 - avril 2004 Retour au numéro
Article précédent
- Positive angle kappa: a sign of albinism in patients with congenital nystagmus
- Michael C. Brodsky, Katherine J. Fray
- Valganciclovir therapy for immune recovery uveitis complicated by macular edema
- Brian R. Kosobucki, Daniel E. Goldberg, Kenichiro Bessho, Hyoung J. Koh, Nuttawut Rodanant, Laurie Labree, Lingyun Cheng, Rachel D. Schrier, Stanley P. Azen, William R. Freeman
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?