Late in-the-bag intraocular lens dislocation: incidence, prevention, and management.
Dislocation of an intraocular lens (IOL) with the capsular bag is a late complication of cataract surgery, reported with increasing frequency in recent years. Pseudoexfoliation, uveitis, myopia, and other diseases associated with progressive zonular weakening and capsular contraction are the predisposing conditions. Capsular tension rings probably help but do not prevent this complication. Management includes IOL exchange, replacement with an anterior or a sutured posterior chamber IOL, or suturing the IOL through the bag to the iris or the sclera.
Gimbel
Howard V
HV
Gimbel Eye Centre, Calgary, Alberta, Canada. hvgimbel@gimbel.com
Condon
Garry P
GP
Kohnen
Thomas
T
Olson
Randall J
RJ
Halkiadakis
Ioannis
I
D005548:Foreign-Body Migration / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery; D006801:Humans; D015994:Incidence; D007903:Lens Capsule, Crystalline; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D013508:Ophthalmologic Surgical Procedures; D018918:Phacoemulsification; D011183:Postoperative Complications; D012307:Risk Factors