Spontaneous dislocation into the vitreousof a poly(methyl methacrylate) disc lens 9 years after surgery
Identifieur interne : 001432 ( Istex/Curation ); précédent : 001431; suivant : 001433Spontaneous dislocation into the vitreousof a poly(methyl methacrylate) disc lens 9 years after surgery
Auteurs : Daniele Tognetto [Italie] ; Giorgio Agolini [Italie] ; Giuseppe Ravalico [Italie]Source :
- Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1998.
Abstract
A 76-year-old woman had sudden visual loss 9 years after an extracapsular cataractextraction with implantation of a poly(methyl methacrylate) disc intraocular lens (IOL) in the capsular bag. Slitlamp examination showed the disc IOL had luxated into the vitreous through a linear inferior opening in the capsular bag; the IOL lay on the retinal surface. A pars plana vitrectomy was performed. The vitreous cavity was filled with perfluorocarbon liquid, floating the IOL to behind the iris. The IOL was removed through a limbal incision, then another type of IOL was implanted in the ciliary sulcus using transscleral fixation. Thirty days after surgery, best corrected visual acuity (BCVA) was 20/20. At 2 months, total retinal detachment appeared with a large superior retinal dialysis. Another pars plana vitrectomy was performed and the scleral-fixated IOL removed through a limbal incision. Internal gas tamponade was used. The eye was left aphakic. Final BCVA was 20/25.
Url:
DOI: 10.1016/S0886-3350(99)80142-4
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<front><div type="abstract" xml:lang="en">A 76-year-old woman had sudden visual loss 9 years after an extracapsular cataractextraction with implantation of a poly(methyl methacrylate) disc intraocular lens (IOL) in the capsular bag. Slitlamp examination showed the disc IOL had luxated into the vitreous through a linear inferior opening in the capsular bag; the IOL lay on the retinal surface. A pars plana vitrectomy was performed. The vitreous cavity was filled with perfluorocarbon liquid, floating the IOL to behind the iris. The IOL was removed through a limbal incision, then another type of IOL was implanted in the ciliary sulcus using transscleral fixation. Thirty days after surgery, best corrected visual acuity (BCVA) was 20/20. At 2 months, total retinal detachment appeared with a large superior retinal dialysis. Another pars plana vitrectomy was performed and the scleral-fixated IOL removed through a limbal incision. Internal gas tamponade was used. The eye was left aphakic. Final BCVA was 20/25.</div>
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