Management of complications in eyes containing two intraocular lenses.


Journal Article

OBJECTIVE: To describe the management of complications in eyes containing two intraocular lenses (IOLs). DESIGN: A retrospective noncomparative case series. PARTICIPANTS: Eight patients having a dislocated posterior chamber intraocular lens (PC IOL) and a secondary anterior chamber intraocular lens (AC IOL) participated. INTERVENTION: Surgical treatment of complications, including mobile dislocated PC IOLs in five eyes and retinal detachment in three eyes, was performed. MAIN OUTCOME MEASURES: Visual acuity and anatomic status were evaluated. RESULTS: Dislocated PC IOLs were removed through a pars plana incision in five eyes and a limbal incision in three eyes. Retinal detachments were repaired in three eyes. With follow-up from 7 months to 6.5 years, visual acuities ranged from 20/25 to 20/40 in five eyes and 20/60 to 20/400 in the three eyes undergoing retinal detachment repair. CONCLUSION: Eyes in which dislocation of a PC IOL occurs during or after cataract surgery may have significant complications develop. Successful surgical repair is more complex in the presence of a secondary AC IOL.

Full Text

Duke Authors

Cited Authors

  • Williams, DF; Del Piero, EJ; Ferrone, PJ; Jaffe, GJ; McDonald, HR; Peters, MA

Published Date

  • November 1998

Published In

Volume / Issue

  • 105 / 11

Start / End Page

  • 2017 - 2022

PubMed ID

  • 9818599

Pubmed Central ID

  • 9818599

International Standard Serial Number (ISSN)

  • 0161-6420

Digital Object Identifier (DOI)

  • 10.1016/S0161-6420(98)91118-6


  • eng

Conference Location

  • United States