title: Bilateral spontaneous subluxation of scleral-fixated intraocular lenses.
abstract: 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.
authors.affiliation: Department of Ophthalmology, Meir Hospital, Sapir Medical Center, Kfar Saba 44281, Israel.
authors.forename: Ehud I
authors.initials: EI
authors.lastname: Assia
authors.forename: Arie
authors.initials: A
authors.lastname: Nemet
authors.forename: Dani
authors.initials: D
authors.lastname: Sachs
mesh_terms: 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