title: Management of subluxated crystalline lenses with planned intracapsular cataract extraction and anterior chamber intraocular lens implantation.
abstract: OBJECTIVE
  To review the visual and surgical outcome of planned intracapsular cataract extraction (ICCE) and anterior chamber intraocular lens (AC IOL) implantation for subluxated crystalline lenses.
  
  
  METHODS
  Eight eyes of 7 patients with subluxated lenses which underwent planned ICCE, AC IOL implantation and peripheral iridectomy by one surgeon between September 1995 and November 1996 were prospectively followed-up to ascertain their visual and surgical outcome.
  
  
  RESULTS
  There were 4 male and 3 female patients. Their mean age was 64.4 years (range, 39-86 years). Seven lenses were removed by cryoextraction while one was removed with the aid of a vectis. The mean post-operative follow-up was 11.6 months, (range, 3-22 months). Excluding 1 eye with pre-existing ocular pathology, all eyes achieved a best corrected visual acuity (BCVA) of 6/12 or better post-operatively. One of these eyes, in a schizophrenia patient, developed subluxation of the AC IOL and retinal detachment 11 months after the cataract surgery due to repeated eye rubbing. The final BCVA became 6/120 after successful repositioning of the AC IOL and retinal re-attachment surgery. One eye achieved a BCVA of 6/36 due to age-related macular degeneration.
  
  
  CONCLUSIONS
  Our results show that planned ICCE and AC IOL implantation is a useful and safe procedure in the management of subluxated lenses.
authors.affiliation: Department of Ophthalmology, Tan Tock Seng Hospital, Singapore.
authors.forename: S B
authors.initials: SB
authors.lastname: Lee
authors.forename: K G
authors.initials: KG
authors.lastname: Au Eong
authors.forename: V S
authors.initials: VS
authors.lastname: Yong
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D007906:Lens Subluxation / Q000473:pathology / Q000601:surgery*; D007908:Lens, Crystalline / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014792:Visual Acuity