title: Outcome of sulcus fixation of dislocated posterior chamber intraocular lenses using temporary externalization of the haptics.
abstract: OBJECTIVE
  This study evaluated the visual outcome and complications of repositioning and sulcus fixation of a dislocated posterior chamber intraocular lens (PC IOL) using a technique in which the haptics of the IOL are temporarily externalized for suture placement.
  
  
  METHODS
  Retrospective, noncomparative case series.
  
  
  METHODS
  Seventy-eight patients with a dislocated PC IOL.
  
  
  METHODS
  All patients underwent surgery to fixate the PC IOL using this technique.
  
  
  METHODS
  Patients were evaluated for visual acuity, refractive error, and surgical complications associated with the procedure.
  
  
  RESULTS
  The average visual acuity before surgery was 20/205 (range, 20/20 to light perception), with a median refractive error of -1.00 diopters (D; range, -7.25-+15.00 D). After surgery, the average visual acuity improved to 20/72 (range, 20/20 to no light perception), with a median refractive error of -0.75 D (range, -5.50-+3.50 D). Patients were observed for a median of 15.5 months (range, 6-57 months). Twenty patients had postoperative cystoid macular edema (26%), 7 patients had an epiretinal membrane (ERM) (9%), and 5 patients had a retinal detachment (6%). Eight patients (10%) experienced iris capture of the sutured IOL, and in three patients (4%) the PC IOL dislocated again after surgery.
  
  
  CONCLUSIONS
  This technique is an effective method for securing a dislocated PC IOL.
authors.affiliation: Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC, USA.
authors.forename: A B
authors.initials: AB
authors.lastname: Thach
authors.forename: P U
authors.initials: PU
authors.lastname: Dugel
authors.forename: J O
authors.initials: JO
authors.lastname: Sipperley
authors.forename: S R
authors.initials: SR
authors.lastname: Sneed
authors.forename: R D
authors.initials: RD
authors.lastname: Hollifield
authors.forename: D W
authors.initials: DW
authors.lastname: Park
authors.forename: J
authors.initials: J
authors.lastname: Jacobsen
authors.forename: R S
authors.initials: RS
authors.lastname: Howard
authors.forename: T P
authors.initials: TP
authors.lastname: Ward
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D012029:Refraction, Ocular; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome; D014792:Visual Acuity