Late in-the-bag intraocular lens dislocation in patients with uveitis

The British Journal of Ophthalmology
Laura R Steeples, Nicholas P Jones

Abstract

Late in-the-bag intraocular lens (IOL) dislocation is an unusual complication of cataract surgery, being strongly associated with pseudoexfoliation, less so with previous vitreoretinal surgery, myopia and uveitis. We present the clinical features, management and outcomes of late spontaneous IOL dislocation in a series of patients with uveitis. A retrospective case series of IOL dislocation affecting patients in the Manchester Uveitis Clinic, UK. The uveitis diagnosis, IOL type, presentation and management are discussed. Six patients from out of 1056 undergoing cataract surgery (0.57%) were affected. Uveitis was the only identified risk factor for IOL dislocation, which occurred a mean 10.3 years following uncomplicated cataract surgery by phakoemulsification with endocapsular IOL implantation. The dislocation was in-the-bag in all six cases. Two patients presented with the IOL in the anterior chamber, and required removal of the IOL-bag complex, and are using aphakic refractive correction. Two patients with inferior IOL subluxation have been managed conservatively. Two patients underwent pars plana vitrectomy with sutureless scleral fixation of the existing IOL in one case, and IOL exchange with a scleral sutured IOL in the oth...Continue Reading

References

Sep 1, 1993·Journal of Cataract and Refractive Surgery·J A Davison
Aug 13, 1999·Journal of Cataract and Refractive Surgery·J C ZechC Trepsat
Feb 28, 2001·Journal of Cataract and Refractive Surgery·S YamazakiD Kurosaka
Sep 17, 2002·Journal of Cataract and Refractive Surgery·Takashi ShigeedaTetsuro Oshika
Nov 8, 2003·Journal of Cataract and Refractive Surgery·Harilaos S Brilakis, Jay M Lustbader
Apr 3, 2004·American Journal of Ophthalmology·Jeffrey G GrossUNKNOWN Dislocated In-The-Bag Intraocular Lens Study Group
Jan 18, 2006·Journal of Cataract and Refractive Surgery·Howard V GimbelIoannis Halkiadakis
Jun 21, 2011·American Journal of Ophthalmology·Sam L PueringerJay C Erie
Sep 29, 2011·European Journal of Ophthalmology·Makiko MatsumotoTakashi Kitaoka
Nov 5, 2013·American Journal of Ophthalmology·Jason J JonesGeorge J C Jin
Nov 19, 2013·Journal of Cataract and Refractive Surgery·Ana M SuelvesC Stephen Foster

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Citations

Jan 23, 2016·Journal of Ophthalmology·Francisco J AscasoAndrzej Grzybowski
Oct 12, 2016·Ocular Immunology and Inflammation·Bozho TodorichLisa J Faia
Jul 12, 2017·BMC Ophthalmology·Valentín HuervaAndrzej Grzybowski
Oct 6, 2019·Journal of Cataract and Refractive Surgery·Guy S NegrettiMahiul M K Muqit
Jul 10, 2020·Ocular Immunology and Inflammation·N P JonesL R Steeples
Sep 21, 2020·The British Journal of Ophthalmology·Christoph Fidel Mayer-XanthakiAndreas Wedrich
Nov 11, 2018·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Efstathios VounotrypidisArmin Wolf
Nov 15, 2018·Japanese Journal of Ophthalmology·Sumihiro KawanoKoji Kawakami

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