Limits...
Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

View Article: PubMed Central - PubMed

ABSTRACT

In this report, three cases with pseudoexfoliation (PEX) and advanced age with spontaneous intraocular lens (IOL) and capsule tension ring (CTR) dislocation were presented. All of our cases experienced progressive vision loss without an episode of strenuous physical activity, trauma, or any other ocular disease. Spontaneous dislocation was observed 2.5 to 8 years after uneventful phacosurgery. Each patient underwent complete IOL and CTR removal combined with anterior chamber IOL implantation. No complications were noticed during follow-up. As a result, capsule tension ring does not prevent late IOL dislocation after uncomplicated phacosurgery in the presence of PEX. Therefore, close follow-up is essential for patients with PEX.

No MeSH data available.


Related in: MedlinePlus

Subluxated in-the-bag intraocular lens and capsular tension ring
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC5384115&req=5

f2: Subluxated in-the-bag intraocular lens and capsular tension ring

Mentions: A 76-year-old man was admitted to our clinic with complaint of left-sided visual deterioration. He had undergone phacoemulsification in the left eye two and a half years earlier. His VA was counting fingers from 2 meters and did not improve with correction. On slit-lamp examination of his left eye, pseudoexfoliation material and significant inferior dislocation of the IOL and CTR was observed, and anterior capsule phimosis with a marked decrease in capsular bag diameter was noted (Figure 2). Examination of his right eye revealed marked pseudophacodonesis, nuclear sclerosis, and pseudoexfoliation material at the pupillary margins. Dry age-related macular degenerations were observed. According to his medical records, CTR implantation was done for prophylactic support after a two clock-hour area of zonular dehiscence was recognized intraoperatively. However, no other intraoperative or postoperative complications had been recorded during the regular three-month follow-up period. Because of significant inferior subluxation, complete capsular bag extraction with IOL and CTR followed by anterior vitrectomy combined with anterior chamber IOL implantation were performed to prevent total drop of IOL and CTR into the vitreous, similar to case 1. The patient’s best corrected VA improved to 5/10 postoperatively.


Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation
Subluxated in-the-bag intraocular lens and capsular tension ring
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5384115&req=5

f2: Subluxated in-the-bag intraocular lens and capsular tension ring
Mentions: A 76-year-old man was admitted to our clinic with complaint of left-sided visual deterioration. He had undergone phacoemulsification in the left eye two and a half years earlier. His VA was counting fingers from 2 meters and did not improve with correction. On slit-lamp examination of his left eye, pseudoexfoliation material and significant inferior dislocation of the IOL and CTR was observed, and anterior capsule phimosis with a marked decrease in capsular bag diameter was noted (Figure 2). Examination of his right eye revealed marked pseudophacodonesis, nuclear sclerosis, and pseudoexfoliation material at the pupillary margins. Dry age-related macular degenerations were observed. According to his medical records, CTR implantation was done for prophylactic support after a two clock-hour area of zonular dehiscence was recognized intraoperatively. However, no other intraoperative or postoperative complications had been recorded during the regular three-month follow-up period. Because of significant inferior subluxation, complete capsular bag extraction with IOL and CTR followed by anterior vitrectomy combined with anterior chamber IOL implantation were performed to prevent total drop of IOL and CTR into the vitreous, similar to case 1. The patient’s best corrected VA improved to 5/10 postoperatively.

View Article: PubMed Central - PubMed

ABSTRACT

In this report, three cases with pseudoexfoliation (PEX) and advanced age with spontaneous intraocular lens (IOL) and capsule tension ring (CTR) dislocation were presented. All of our cases experienced progressive vision loss without an episode of strenuous physical activity, trauma, or any other ocular disease. Spontaneous dislocation was observed 2.5 to 8 years after uneventful phacosurgery. Each patient underwent complete IOL and CTR removal combined with anterior chamber IOL implantation. No complications were noticed during follow-up. As a result, capsule tension ring does not prevent late IOL dislocation after uncomplicated phacosurgery in the presence of PEX. Therefore, close follow-up is essential for patients with PEX.

No MeSH data available.


Related in: MedlinePlus