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Dislocated intraocular lens removal assisted with straight needle fixation

Poster Details

First Author: A.Herranz SPAIN

Co Author(s):    J. Armentia   A. Matheu                 

Abstract Details

Purpose:

Intraocular lens (IOL) dislocation is considered a late complication of the cataract surgery. Its incidence is approximately a 4% for the clinically significant malpositions and a 25% for the non-significant ones. Zonular weakness is the most frequently related cause. The election of the surgical approach, anterior or posterior, depends on the position of the dislocated IOL. Minimizing traction on the vitreous humour must be a main principle during the surgical procedure.

Setting:

Hospital de l'Esperan�Ã�§a - Parc de Salut Mar

Methods:

A 88 year-old female, consults at our hospital for loss of Visual Acuity (VA) in the right eye (RE) lasting 2 days.The exploration showed an inferior dislocation of the IOL-capsule complex.The surgical technique applied included the capture and fixation of the IOL-capsule complex with a straight needle during the performance of the anterior vitrectomy. Also, a peripheric iridotomy was carried out. Ultimately, the Artisan lens was anchored anteriorly to the iris and all the incisions were sealed.

Results:

After one year, the patient has not presented any complicacion and the VA RE was 35/100.

Conclusions:

Regarding a patient with an IOL dislocation, the fixation of the capsule-IOL complex with a straight needle may be performed during the surgery in order to minimize the traction executed on the vitreous humour. This may reduce the chances of further surgical complications such as retinal detachment.

Financial Disclosure:

NONE

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