title: Sulcus-fixated intraocular lens implantation for the management of negative dysphotopsia.
abstract: OBJECTIVE
  To determine whether intraocular lens (IOL) exchange with insertion of a sulcus-fixated IOL is an effective treatment for the management of pseudophakic negative dysphotopsia.
  
  
  METHODS
  Department of Ophthalmology, Stoke Mandeville Hospital, Buckinghamshire, United Kingdom.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Participants in the study were recruited prospectively from the clinic at the time of diagnosis or retrospectively from the operating room logs by identifying all patients who had IOL exchanges over a 4-year period (2009 to 2012).
  
  
  RESULTS
  Five eyes of 5 women with negative dysphotopsia were treated with IOL exchange and replacement with a 3-piece IOL (Acrysof MA60AC) inserted in the ciliary sulcus. All patients had a resolution of the negative dysphotopsia symptoms. One patient had primary insertion of a sulcus IOL in the fellow eye and did not develop negative dysphotopsia symptoms.
  
  
  CONCLUSIONS
  Intraocular lens exchange with insertion of a 3-piece IOL in the ciliary sulcus appears to be a safe and effective treatment for the management of pseudophakic negative dysphotopsia.
  
  
  BACKGROUND
  Neither author has a financial or proprietary interest in any material or method mentioned.
authors: From the Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, United Kingdom. Electronic address: tomasburke@nhs.net.
authors: Tomas R
authors: TR
authors: Burke
authors: From the Department of Ophthalmology, Stoke Mandeville Hospital, Aylesbury, Buckinghamshire, United Kingdom.
authors: Larry
authors: L
authors: Benjamin
mesh_terms: D000368:Aged; D000869:Anterior Eye Segment / Q000601:surgery*; D020878:Device Removal; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008875:Middle Aged; D018918:Phacoemulsification; D011446:Prospective Studies; D012086:Reoperation; D041623:Tomography, Optical Coherence; D014786:Vision Disorders / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D014794:Visual Fields / Q000502:physiology*