title: Late in-the-bag intraocular lens dislocation: incidence, prevention, and management.
abstract: 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.
authors.affiliation: Gimbel Eye Centre, Calgary, Alberta, Canada. hvgimbel@gimbel.com
authors.forename: Howard V
authors.initials: HV
authors.lastname: Gimbel
authors.forename: Garry P
authors.initials: GP
authors.lastname: Condon
authors.forename: Thomas
authors.initials: T
authors.lastname: Kohnen
authors.forename: Randall J
authors.initials: RJ
authors.lastname: Olson
authors.forename: Ioannis
authors.initials: I
authors.lastname: Halkiadakis
mesh_terms: 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