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Phaco surgery: management of subluxated lenses

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Session Details

Session Title: Cataract Surgery Complications

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 08:18

Venue: Boulevard A

First Author: : S.Della Maggiore ITALY

Co Author(s): :    A. Vento   A. Mannini   P. Martinelli   S. Trivella     

Abstract Details


The AA shows a simple way to manage subluxated lenses in cataract surgery. This method is effective and functional till a 180° zonular dialisys


Ophthalmology Department Versilia Hospital Lido Di Camaiore


34 phaco surgeries in subluxated lenses have been performed in our department in the last 3 years. The subluxated lenses were the result of pseudoexfoliation syndrome, trauma, Marfan syndrome. The surgery follows these steps: local anesthesia, trocars insertion, capsulorexis, capsular hooks, phaco surgery, tension ring and IOL in the bag.


31 surgeries had the IOL in the bag. Three cases had capsular posterior brake and nuclear drop into the vitreous; we performed vitrectomy and scleral fixation lens. Mean best corrected visual acuity has been 18/20, no retinal detachment, no vitreous in anterior chamber. Previous glaucoma affected eyes had no worsening of intraocular pressure.


Subluxated lenses are a very interesting challenge for ophthalmic surgeon. We can apply this method as a routine surgery for these complicated cases.

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