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Management of intraocular lens dislocation

Poster Details

First Author: M.Stamenkovic SERBIA

Co Author(s):    S. Babovic   Z. Zikic   I. Sencanic   V. Jaksic   N. Nikitovic        

Abstract Details

Purpose:

To evaluate results and complications of management of intraocular lens (IOL) decentration and IOL luxation.

Setting:

Clinic for Eye Disease „Prof. dr Ivan Stankovic“ University Medical Center „Zvezdara“ Belgrade, Serbia

Methods:

Retrospective analysis of 18 patients (18 eyes) with IOL decentration or luxation was performed. All patients were treated operatively from January 2013 to December 2014. Etiology of IOL luxation and dislocation was assessed, as well as operative treatment. Postoperative results and complications were registered.

Results:

Patients mean age was 59 years (range 52 to 74) ) and the majority of patients comprised male (13 patients). Mean time between implantation and IOL dislocation treatment was 18.4 days. Posterior capsule rupture was the most frequent reason of IOL dislocation (16 eyes, 88.9%), following early postoperative trauma (2 eyes, 11.1%). In 8 eyes (44.4%) IOL was repositioned on anterior capsule, in 1 eye (5.5%) in capsular bag and in 3 cases (16.7%) a scleral fixation was performed. IOL was exchanged in 6 eyes (33.4%). Postoperative visual was higher than 0.5 by Snellen chart in 11 eyes with IOL reposition (91.7%) and in 4 eyes (66.4%) with IOL exchange. Cystoid macular edema was registered in 3 eyes (16.7%).

Conclusions:

Management of IOL dislocation demonstrated good anatomical and functional outcome. Eyes with IOL reposition had high postoperative visual acuity comparing to IOL exchange. Preoperative pathology and postoperative complications are of a great importance for operative outcome.

Financial Disclosure:

NONE

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