Management of dislocated foldable intraocular lenses.
BACKGROUND
Foldable intraocular lenses (IOLs) have replaced rigid IOLs as the standard for cataract surgery. As with their predecessors, some foldable IOLs manifest dislocation. The applicability of techniques developed for dislocated rigid IOLs to dislocated foldable IOLs has not been widely studied.


OBJECTIVE
The purpose of this study was to evaluate the results of management techniques for dislocated foldable IOLs.


METHODS
Retrospective, interventional case study.


RESULTS
Thirty-two eyes underwent repair including repositioning without scleral sutures (17 eyes), repositioning using scleral suture (8), and IOL exchange (7). IOL types included silicone plate IOLs (15 eyes), 3-piece acrylic IOLs (12), and others (5). The visual acuity outcomes and complication rates were similar for all IOL types and surgical techniques.


CONCLUSIONS
With minimal modifications and a few important exceptions, previously reported techniques for management of dislocated IOLs, including repositioning with or without scleral suture fixation, may be applied effectively to many styles of foldable IOLs.
Smiddy
William E
WE
Department of Ophthalmology, University of Miami School of Medicine, Bascom Palmer Eye Institute, Miami, Florida 33136, USA. wsmiddy@med.miami.edu
D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D005129:Eye Foreign Bodies / Q000601:surgery*; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D018918:Phacoemulsification; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies; D012826:Silicone Elastomers; D013536:Suture Techniques; D014792:Visual Acuity
D000180:Acrylic Resins; D012826:Silicone Elastomers