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- Several surgical options exist in management of dislocated IOL and should be tailored to each individual. Surgery typically includes pars plana vitrectomy to remove the dislocated lens with either an IOL cutter or through a scleral tunnel or sclerocorneal incision. This is followed by secondary IOL implantation.
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Apr 1, 2022 · Surgical Considerations and Techniques. The choice of lens and the best fixation approach depend on the anatomy of the patient’s eye. In patients with corneal decompensation or glaucoma, an AC IOL should be avoided. In patients with iridodonesis, an iris-fixated IOL is contraindicated, and a posteriorly.
- Diagnosis and Management of Posteriorly Dislocated Lenses
In contrast, posterior dislocation usually involves...
- Diagnosis and Management of Posteriorly Dislocated Lenses
Oct 14, 2018 · The nasal polypropylene suture needle pass and 1-mm stab incision for suture retrieval counter the temporal sites to prevent IOL tilt. The surgeon adjusts the suture tension on both haptics to center the IOL before securing and burying the knots. A single buried 8-0 polyglactin suture is used to close the conjunctiva.
Sep 3, 2024 · There are several surgical options for managing IOL dislocation, including repositioning the dislocated IOL back into its original position within the eye, removing and replacing the dislocated IOL with a new one, or securing the dislocated IOL in place with sutures or other fixation devices.
Oct 1, 2017 · In contrast, posterior dislocation usually involves comanagement with a vitreoretinal surgeon for consideration of vitrectomy and removal of the dislocated lens or IOL through a pars plana approach. If the posteriorly dislocated crystalline lens is intact, it may be observed in some cases.
- Symptoms
- Causes
- Diagnostic Testing
- Treatment and Prognosis
The most common symptom of a dislocated IOL is a change in vision. The degree to which vision is affected will depend on the severity of the dislocation. This can appear as: 1. Blurring 2. Double vision 3. Seeing the edge of the lens implant IOL dislocation can also lead to other complications such as retinal detachment, bleeding, intraocular infla...
During most cataract surgery procedures, the IOL is placed inside the capsular bag, a sack-like structure in the eye that previously contained the cloudy lens. In some situations, this extremely thin capsular bag or the fibers that hold it in place rupture and the IOL support is compromised. Dislocation of the IOL can occur days to years after surg...
Your retina specialist will perform a detailed eye exam, including a careful examination of the peripheral retina. The dislocated IOL is sometimes photographed to document the extent of the problem. When a clear view of the retina cannot be obtained directly, an ultrasound of the eye can be helpful.
Based on the characteristics of the IOL dislocation, there are several different approaches to repairing this issue. In cases where the IOL dislocation is minimal and does not have a large impact on vision, your doctor may not recommend any treatment at all. When vision is affected and the patient is experiencing symptoms, surgery becomes necessary...
Types of Dislocation IOL dislocation can be classified into three categories: Decentration. The IOL dislocation can be a simple decentration, either in the bag or in the sulcus with an intact capsule and intact zonules. Lenses that are placed in the sulcus at the time of the original cataract surgery usually have some capsular compromise, so
Mar 21, 2024 · Common indications for surgical intervention include decreased vision, monocular diplopia, halos, uveitis, glaucoma, and hyphema syndrome. •. Intraocular lens removal techniques include hold/fold, roll, and sectioning. The technique used depends heavily on the material of the intraocular lens. •.
