Surgical management and outcomes of dislocated intraocular lenses.
OBJECTIVE
To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).


METHODS
Retrospective consecutive noncomparative case series.


METHODS
All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.


METHODS
Demographic and clinical data were abstracted from patients' medical records.


METHODS
Visual acuity at final follow-up and surgical complications.


RESULTS
The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1 %) eye. Final visual acuity was > or =20/40 in 63 patients (57%) patients, 20/50-20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.


CONCLUSIONS
Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.
Mello
M O
MO
Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida, USA.
Scott
I U
IU
Smiddy
W E
WE
Flynn
H W
HW
Feuer
W
W
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity