[Surgical management of intraocular lens dislocation into the vitreous cavity]

Abstract

Purpose: To present our experiences in the management of intraocular lenses (IOLs) dislocated into the vitreous cavity.

Material and methods: The authors report three cases with posteriorly dislocated IOLs in which pars plana vitrectomy techniques and limbal incision were used for IOLs removal. In one of these eyes perifluorocarbon liquid was injected after vitrectomy to float the IOL off the retina to the retropupillary space and transclerally sutured ciliary sulcus fixation IOL was implanted simultaneously. Anterior chamber IOLs were implanted in the two other cases.

Results: Best corrected postoperative visual acuity was between 5/5 and 5/10 in all eyes. No important complications were observed.

Conclusions: Application of vitreoretinal microsurgical techniques allows for the safe removal of dislocated IOLs. Primary or secondary IOL re-implantation gives quick visual rehabilitation.