In the bag IOL dislocation following uncomplicated phacoemulsification.
We present two cases of early post-operative, in the bag intraocular lens (IOL) dislocation following uncomplicated phacoemulsification. Dislocation occurred in the presence of capsular fibrosis and anterior capsular phimosis. One patient was a known diabetic, the other diagnosed with pseudoexfoliation syndrome. These are recognised risk factors for capsular fibrosis. Surgical management included enlargement of the anterior capsular opening using intraocular micro-scissors and vitreous cutter to facilitate the removal of the dislocated IOL from the capsular bag. Both patients achieved a satisfactory visual outcome following IOL exchange with a rigid, sulcus fixated posterior chamber IOL (PCIOL). We discuss the risk factors for capsular fibrosis and propose preventative strategies to reduce the incidence of in the bag IOL dislocation.
Guys & St Thomas' Hospital, Lambeth Palace Road, London SE1 7EH, UK. anupmakumar@hotmail.com
Anupma
A
Kumar
Mark
M
Freeman
Vinod
V
Kumar
Uthaya S
US
Ramanathan
D000368:Aged; D000369:Aged, 80 and over; D003316:Corneal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005129:Eye Foreign Bodies / Q000150:complications*; D005260:Female; D005355:Fibrosis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D005548:Foreign-Body Migration / Q000150:complications*; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male