Apr 1, 2022 · Subluxation. The lens can be subluxed, with either a haptic or an optic out of the bag. Both the anterior and posterior capsules may be intact, although there may be a defect or tear causing the IOL to dislocate into the anterior or …

Subluxation refers to partial zonular or capsular instability. Dislocation is due to total zonular or capsular instability. However, all of these the terms are often used interchangeably. Once the dislocated IOL is identified, there are several possible management options.

Techniques for repairing a dislocated IOL fall into 2 categories. Your doctor will chose the one that is most appropriate based on your IOL type and the anatomy of your eye: IOL rescue/reposition: The dislocated IOL is preserved and repositioned in a more stable location.

Dislocation of the IOL–capsular bag complex is one of the most challenging scenarios to manage in cataract surgery. The surgical plan depends on the type of IOL, the severity of zonular weakness, whether vitreous is present in the anterior segment, and the health of the eye.

Oct 1, 2017 · If the posteriorly dislo­cated crystalline lens is intact, it may be observed in some cases. Some eyes with posteriorly dislocated lens or IOL may be left aphakic. In this article, we focus on the diag­nosis and management of posteriorly dislocated crystalline lenses and IOLs.

Nov 4, 2024 · A dislocated IOL occurs when the artificial lens implanted during cataract surgery moves out of its original position. Symptoms of a dislocated IOL may include blurred vision, double vision, and sensitivity to light.

Many effective techniques to remove a dislocated IOL have been described. Most of them entail cutting the lens into two or three pieces with intraocular scissors before removing them. Transscleral suture fixation. This is an effective surgical …

In cases where the subluxation is severe, surgical removal of the dislocated lens followed by implantation of an intraocular lens (IOL) may be necessary. This procedure can restore vision and prevent further complications.

Jun 10, 2023 · According to some estimates, up to three percent of cataract surgery patients experience IOL dislocation with incidence rates increasing five years post surgery. IOL dislocation can be corrected through two methods: repositioning or replacing it.

scleral­fixated IOLs. For severely sub­ luxed and dislocated IOLs, the surgeon must be very careful to preserve the corneal endothelium when bringing the IOL into the anterior chamber for removal. Careful maintenance of the anterior chamber with OVD or an an­ terior chamber maintainer or posterior infusion from vitrectomy can be help­