Delayed posterior dislocation of silicone plate-haptic lenses after neodymium:yag capsulotomy.
We report 4 cases of posterior dislocation of silicone plate-haptic intraocular lenses (iols) into the vitreous cavity occurring a mean of 16 months after neodymium:YAG laser posterior capsulotomy. In each case, no peripheral capsule defect was observed at the time of laser capsulotomy or at subsequent follow-ups. One case was treated with sulcus implantation of a 3-piece IOL, with the plate-haptic IOL left in the vitreous cavity. The other cases were managed with vitrectomy (2 pars plana, 1 anterior) to remove the plate-haptic lens with subsequent sulcus placement of a 3-piece IOL. Patients should be informed that posterior dislocation is an infrequent but possible complication of these lenses and may occur months and even years after implantation or laser capsulotomy.
Petersen
A M
AM
Southwestern Eye Center, Mesa, Arizona 85204, USA.
Bluth
L L
LL
Campion
M
M
D000368:Aged; D001672:Biocompatible Materials; D019923:Capsulorhexis / Q000009:adverse effects*; D020878:Device Removal; D005260:Female; D005548:Foreign-Body Migration / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006801:Humans; D053685:Laser Therapy / Q000009:adverse effects*; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D012826:Silicone Elastomers; D014792:Visual Acuity; D014821:Vitrectomy; D014822:Vitreous Body / Q000473:pathology
D001672:Biocompatible Materials; D012826:Silicone Elastomers