Scleral fixation of a posterior chamber intraocular lens in a patient with two dislocated lens implants.

Abstract

PURPOSE To report the clinical findings and management of a case of two consecutive intraocular lenses (IOLs) dislocated into the vitreous cavity after complicated cataract surgery. METHODS Review of clinical findings and treatment. RESULTS A 69-year-old man sought treatment for posterior chamber IOL dislocation. The patient reported a significant loss of visual acuity in the right eye for 4 months (best-corrected visual acuity (BCVA) 20/200 in the affected eye). In the vitreous cavity two dislocated IOLs were found, complicated by a cystoid macula edema. Surgery was planned and the two IOLs were removed from the vitreous cavity. Aphakia was then corrected by means of a scleral fixated posterior chamber lens. Three months after surgery, BCVA was 20/40. CONCLUSIONS In the absence of randomized controlled clinical trials evaluating treatment options, preoperative patient work-up should be as accurate as possible in order to reduce the risk of intraoperative and postoperative complications. In this patient, removing the two IOLs and placing a sutured-fixated posterior chamber IOL allowed resolution of the cystoid macular edema.

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Cite this paper

@article{Cavallini2004ScleralFO, title={Scleral fixation of a posterior chamber intraocular lens in a patient with two dislocated lens implants.}, author={Gian Maria Cavallini and Livio Pagliani and Luca Campi and Norma Lugli and P Saccarola and Veronica Volante}, journal={European journal of ophthalmology}, year={2004}, volume={14 2}, pages={149-52} }