title: Axial Length of the Eyeball Is Important in Secondary Dislocation of the Intraocular Lens, Capsular Bag, and Capsular Tension Ring Complex.
abstract: Purpose. To analyze the patients with secondary dislocation of CTR and IOL within 5 years from cataract surgery, to determine predisposing factors. Methods. 16 eyes of 15 patients aged 66.2 ± 6.7 (from 49 to 82) with CTR/IOL complex dislocation within 5 years from cataract surgery were compared with 26 patients aged 67.1 ± 7.2 (from 53 to 85), implanted with CTR during cataract surgery to manage zonule dehiscence and did not dislocate for at least 5 years, in respect of cause, axial length and IOL power, refraction, coexistent pathology, and trauma. Results. Axial length of the eyeball was 23.8 ± 1.3 (from 21 to 29) in the group of patients with CTR/IOL dislocation and 20.7 ± 1.2 (from 19 to 24) in patients with no dislocation present (p = 0.008). Crystalline lens dislocation was diagnosed before surgery in 13 of 16 patients with CTR/IOL complex dislocation as opposed to 7 of 26 eyes in the control group (p = 0.01). Pseudoexfoliation was present in 50% and 58% in both groups, respectively. Traumatic dislocation was present in 8 patients, none of them with CTR/IOL dislocation (p = 0.04). Conclusion. Longer axial length may contribute to the failure of the CTR to prevent in-the-bag IOL dislocation. Traumatic dislocation appears to be well fixed with the CTR.
authors.affiliation: Department of Ophthalmology, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Klysik
authors.affiliation: Department of Ophthalmology, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Kaszuba-Bartkowiak
authors.affiliation: Department of Ophthalmology, Medical University of Lodz, Zeromskiego 113, 90-549 Lodz, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Jurowski