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Surgical management and outcomes of dislocated intraocular lenses

Identifieur interne : 002976 ( Main/Exploration ); précédent : 002975; suivant : 002977

Surgical management and outcomes of dislocated intraocular lenses

Auteurs : Mozart O. Mello Jr. [États-Unis] ; Ingrid U. Scott [États-Unis] ; William E. Smiddy [États-Unis] ; Harry W. Flynn Jr. [États-Unis] ; William Feuer [États-Unis]

Source :

RBID : ISTEX:1F7C01FC2A019D6E530373558319B548C64DEEA1

Abstract

Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.

Url:
DOI: 10.1016/S0161-6420(99)00017-2


Affiliations:


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<div type="abstract" xml:lang="en">Objective To evaluate the surgical management and visual acuity outcomes in a large series of patients with dislocated intraocular lenses (IOLs).Design Retrospective consecutive noncomparative case series.Participants All patients who underwent surgical management of dislocated IOLs by two vitreoretinal surgeons at one institution between January 1, 1991, and March 31, 1998.Methods Demographic and clinical data were abstracted from patients’ medical records.Main outcome measures Visual acuity at final follow-up and surgical complications.Results The study population consisted of 110 patients, with a median follow-up interval of 50 weeks after dislocated IOL management. Surgical techniques included IOL repositioning in 93 (84.5%) eyes, IOL exchange in 16 (14.5%) eyes, and IOL removal in 1 (1%) eye. Final visual acuity was ≥20/40 in 63 patients (57%) patients, 20/50–20/200 in 34 (31%) patients, and <20/200 in 13 (12%) patients. Ninety-nine (90%) patients had stable or improved final vision. Observed complications included postoperative retinal detachment in 7 (6.3%) eyes, chronic cystoid macular edema in 19 (17%) eyes, and suprachoroidal hemorrhage in 1 (1%) eye.Conclusions Surgical management of dislocated IOLs usually results in satisfactory visual outcomes. Pre-existing ocular pathology and postoperative complications may limit final vision.</div>
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