Korean J Ophthalmol.  2000 Dec;14(2):80-84. 10.3341/kjo.2000.14.2.80.

Management of posteriorly dislocated intraocular lens using pars plana vitrectomy

• Seo MS
• Kim CR
• Nah HJ
• Lee Y
• Park YG

• KMID: 754279
• DOI: http://doi.org/10.3341/kjo.2000.14.2.80

Abstract

In order to evaluate the results of pars plana vitrectomy (PPV) for the treatment of posteriorly dislocated intraocular lens (PC-IOL), we retrospectively examined and analyzed the hospital records of patients who had undergone PPV to exchange or reposition a PC-IOL dislocated into the vitreous cavity. Of 20 eyes in 20 patients, IOL exchange was performed in 6 eyes, and IOL repositioning in 14 eyes. Posteriorly dislocated IOL occurred in 14 eyes during or within 2 days, and in 6 eyes 6 months after the IOL implantation. Thirteen eyes were surgically treated early after the occurrence, within 3 days, while 7 eyes were treated later, between 5 to 7 days. Compared with preoperative best-corrected visual acuity, the final visual acuity improved more than 2 lines in 12 eyes. With no significant difference on the statistics, earlier visual rehabilitation seemed to be shown in late-treated patients than in early-treated. Accordingly, a posterior dislocation of IOL can be successfully treated with PPV, and barring any serious complications such as retinal detachment, there is no need for surgery immediately following the occurrence.

MeSH Terms

Adolescence
Adult
Aged
Aged, 80 and over
Child
Female
Foreign-Body Migration/surgery+ACo-
Foreign-Body Migration/etiology
Human
Lens Implantation, Intraocular
Lenses, Intraocular+ACo-
Male
Middle Age
Reoperation
Retrospective Studies