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Multicenter Study
. 2004 Apr;137(4):630-5.
doi: 10.1016/j.ajo.2003.10.037.

In-the-bag intraocular lens dislocation

Jeffrey G Gross  1 , Gregg T Kokame, David V Weinberg; Dislocated In-The-Bag Intraocular Lens Study Group
Affiliations
Multicenter Study

In-the-bag intraocular lens dislocation

Jeffrey G Gross et al. Am J Ophthalmol. 2004 Apr.

Abstract

Purpose: To describe the presenting characteristics and management alternatives of posterior chamber intraocular lens (PC-IOL) dislocation secondary to dehiscence of the zonules supporting the capsular bag.

Design: Observational case series.

Methods: Multicenter retrospective analysis of the surgical treatment and predisposing factors associated with 25 eyes of 22 patients with dislocation of the PC-IOL encased within the capsular bag secondary to dehiscence of the zonules supporting the capsular bag.

Results: The dislocated in-the-bag PC-IOL was replaced with an anterior chamber intraocular lens in 60% or repositioned/exchanged and scleral fixated in 40% of eyes. Associated conditions included pseudoexfoliation syndrome 44%, uveitis 16%, and trauma 16%. There was no identifiable cause in 24% of eyes.

Conclusions: In-the-bag PC-IOL dislocations are an unusual, sometimes bilateral, late complication of cataract surgery that can be managed by exchange with an anterior chamber intraocular lens or by PC-IOL repositioning or replacement with scleral fixation. The most common associated condition was pseudoexfoliation.

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Comment in

  • In-the-bag intraocular lens dislocation.
    Ahmed II, Crandall AS. Ahmed II, et al. Am J Ophthalmol. 2005 May;139(5):952-3; author reply 953-4. doi: 10.1016/j.ajo.2004.12.020. Am J Ophthalmol. 2005. PMID: 15860329 No abstract available.

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