Surgical management of subluxed posterior-chamber intraocular lenses.
OBJECTIVE
To formulate a systematic approach to the surgical management of subluxed posterior-chamber intraocular lenses (IOLs).


METHODS
We reviewed the records of 31 consecutive patients who underwent anterior-segment surgery for IOL subluxation. Presumed anatomic causes of IOL subluxation were identified in 28 cases (90%). Three surgical procedures were used to correct the implant subluxation: modified McCannel sutures (19 eyes), IOL exchange (eight eyes), or IOL rotation (four eyes).


RESULTS
Twenty-nine (94%) of the 31 patients obtained a postoperative visual acuity of 20/40 or better. Surgical complications included persistent vitreous in the anterior chamber (three cases), progressive capsular opacification (two cases), and anterior chamber and vitreous hemorrhage (one case).


CONCLUSIONS
Our results show that, by implementing a planned surgical approach, subluxed posterior-chamber IOLs can be safely and effectively managed.
Panton
R W
RW
Wilmer Institute, Johns Hopkins Hospital, Baltimore, Md.
Sulewski
M E
ME
Parker
J S
JS
Panton
P J
PJ
Stark
W J
WJ
D000368:Aged; D000369:Aged, 80 and over; D000869:Anterior Eye Segment / Q000601:surgery*; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011475:Prosthesis Failure; D014792:Visual Acuity