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Analysis of intraocular pressure changes after surgical management of 171 cases of in-the-bag intraocular lens dislocation

Poster Details

First Author: B.Lorente SPAIN

Co Author(s):    V. de Rojas   P. Vazquez de Parga   R. Lorente              

Abstract Details


To evaluate the changes in intraocular pressure after surgical correction of late in the bag IOL dislocation.


Complexo Hospitalario Universitario de Ourense, Spain. Complexo Hospitalario Universitario de A Coruña, Spain.


Retrospective (2005-2014) interventional case series including cases of late spontaneous in-the-bag IOL dislocation from two referral centers. The main outcome measure was preoperative/postoperative intraocular pressure (IOP) and type of surgery.


134 cases of surgeries to correct in-the-bag IOL dislocation were identified. Dislocation was corrected: repositioning using scleral fixated IOL (SFIOL) (66 cases); IOL exchange for angle supported IOL (ACIOL) (33 cases); iris claw IOL (ICIOL) (27 cases) and 8 cases with other techniques (IOL removal, anterior relaxing capsulotomy and iris suturing). Mean IOP decreased significantly after surgery from 20.25 ± 7.52 to 16.26 ± 4.05 in the whole group (p=0.000). Mean pre and postoperative intraocular pressure was 21.57 ± 8.86 and 16.21 ± 4.52 (p=0.000), 19.19 ± 7.58 and 16.6 ± 5.93 (p=0.039), 19.12 ± 3.95 and 15.96 ± 2.90 (p=0.017) mmHG in SFIOL, ACIOL and ICIOL groups respectively.


In the largest series reported to date, a significant trend towards a decrease in intraocular pressure was found after the surgical management of in the bag dislocated IOLs. This decrease was independent of the technique used to correct the dislocation.

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