Clinical Features And Management Of Late Iol Decentration In The Dead Bag Syndrome

To describe clinical features, demography, predisposing factors & surgical outcomes for late intraocular lens(IOL)decentration in dead bag syndrome.

Iladevi Cataract & IOL Research Centre, Raghudeep Eye Hospital, Ahmedabad, India

In this prospective interventional series, 46 eyes of 43 patients were enrolled.Main inclusion criterion was spontaneous posterior capsule rupture and IOL decentration/dislocation atleast 4 years after uneventful phacoemulsification surgery. All eyes had IOL exchange.Results included demography,risk factors,duration from primary cataract surgery, postop.visual acuity,complications.

Study had distinct male preponderance.Axial myopia was a major risk factor. Mean duration between phacoemulsification and IOL exchange surgery was 16.4±5.5 years.Mean age at primary phacoemulsification was 52 years, & at IOL exchange was 67 years.Mean followup was 12.36 mths.One eye required a RD surgery,2 needed intravitreal injections for CME. Mean corrected distance visual acuity was 0.14 + 0.17 LogMAR units.

Dead bag syndrome is a distinct disease entity where capsular bag remains in situ but posterior capsule develops dehiscence,leading to partial/total decentration of IOL atleast 4 years following uneventful cataract surgery.Males & myopia are  main risk factors associated with this condition.