[Surgical treatment of subluxated lens with cataract].
OBJECTIVE
To study the surgical treatment of the subluxated lens with cataract caused by broken suspensory ligament of the lens.


METHODS
Phacoemulsification combined with intraocular lens implantation was performed in 21 eyes. Extracapsular cataract extraction with small-incision was performed in 6 eyes. The visual acuity, the position of IOL, and the postoperative complications were observed and analyzed.


RESULTS
Postoperative vision was increased in all patients. Vision 3 days after the operation was 0.1 - 0.4 in 6 eyes and 0.5 - 0.8 in 21 eyes. Vision 1 month after the operation was 0.1 - 0.4 in 7 eyes and 0.5 - 0.8 in 20 eyes. The up-edge of IOL could be observed at normal pupil in only one eye. IOL positions were found to be diverged after dilation of the pupil in 2 eyes; no diplopia was experienced. There were no serious complications during or after the operation.


CONCLUSIONS
If the operator has perfect skill and chooses the optimal method, a good result can be obtained in surgical treatment of the subluxated lens.
Chen
Mao-sheng
MS
Xinjiang MEGA Ophthalmic Medical Cooperative Center, Wulumuqi 830049, China. xjmgyk@xinhuanet.com
Sun
Yong
Y
Jiang
De
D
He
Qing-song
QS
D000368:Aged; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D007906:Lens Subluxation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D014792:Visual Acuity