Bilateral spontaneous subluxation of scleral-fixated intraocular lenses.
Two young men with primary ectopic lenses had intracapsular cataract extraction and scleral fixation of posterior chamber intraocular lenses (PC IOLs) using 10-0 polypropylene sutures tied to the IOL eyelets. Three to 9 years after implantation, spontaneous IOL vertical subluxation occurred in all 4 eyes (5 IOL loops), probably because of suture breakage. Late subluxation of a sutured IOL may occur several years after implantation. Double fixation and thicker sutures should be considered, especially in young patients.
Assia
Ehud I
EI
Department of Ophthalmology, Meir Hospital, Sapir Medical Center, Kfar Saba 44281, Israel.
Nemet
Arie
A
Sachs
Dani
D
D000328:Adult; D002387:Cataract Extraction; D004479:Ectopia Lentis / Q000235:genetics / Q000601:surgery; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods; D007910:Lenses, Intraocular; D008297:Male; D011475:Prosthesis Failure; D012086:Reoperation; D012590:Sclera / Q000601:surgery*; D013536:Suture Techniques