+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Spontaneous dislocation of posterior chamber intraocular lenses (PC IOLs) in patients with retinitis pigmentosa - Case series



Spontaneous dislocation of posterior chamber intraocular lenses (PC IOLs) in patients with retinitis pigmentosa - Case series



Saudi Journal of Ophthalmology 26(1): 61-65



To report the outcomes of intraocular lens (IOL) dislocation management in 6 cases with Retinitis Pigmentosa (RP). Private practice, Los Angeles, USA. Retrospective interventional case series. The medical reports of six eyes of four RP patients with capsule bag fixated posterior chamber IOL dislocation were retrospectively reviewed. Pre-operative data included demographics, systemic or ocular disorders, history of trauma, previous intraocular surgery and pre-operative visual acuity. Outcome measures included the type of surgery, surgical complications, elevation of intraocular pressure (IOP), ocular inflammation, cystoid macular edema (CME) and IOL dislocation at 3 months or greater post-operatively. The medical records of six eyes of four patients operated on between December 2009 and May 2011 were evaluated. In four cases, dislocated PC IOL implants were sutured to the sclera. In two eyes of one patient anterior chamber IOLs (AC IOLs) were implanted after PC IOLs were explanted. One eye developed CME during the follow-up period. Despite modest tilt in one case and modest decentration in another, stability and centration of the IOLs was excellent during the follow-up period. No eyes had intraocular inflammation requiring long term medical treatment, new onset glaucoma or retinal detachment. Mean follow-up time was 6.9 months (range 3-20). Cataract surgeons should be aware of the increased risk for decentration and malposition of PC IOLs in patients with RP. Satisfactory results can be achieved by fixation of the PC IOL or AC IOL implantation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 055888932

Download citation: RISBibTeXText

PMID: 23960970

DOI: 10.1016/j.sjopt.2011.09.003


Related references

Bilateral spontaneous dislocation of IOLs within the capsular bag to the anterior chamber in a retinitis pigmentosa patient. Klinika Oczna 113(10-12): 373-375, 2011

Bilateral spontaneous dislocation of intraocular lenses within the capsular bag in a retinitis pigmentosa patient. Korean Journal of Ophthalmology 18(1): 52-57, 2004

Posterior chamber intraocular lens implantation in patients with retinitis pigmentosa. Documenta Ophthalmologica 72(2): 115-118, 1989

Complications of anterior chamber intraocular lenses (IOLs). An analysis of 4100 explanted IOLs. Ophthalmologe 91(4): 512-517, 1994

Posterior capsule opacity in Retinitis Pigmentosa according to different biomaterials of intraocular lenses: Our clinical experience. La Clinica Terapeutica 166(5): 191-193, 2015

Incidence of cystoid macular edema with iris-fixated posterior chamber intraocular lenses in patients presenting with lens dislocation. International Ophthalmology 34(5): 1153-1158, 2014

Late dislocation of scleral-sutured posterior chamber intraocular lenses. Journal of Cataract and Refractive Surgery 31(7): 1320-1326, 2005

Bilateral dislocation of in-the-bag posterior chamber intraocular lenses in a patient with intermediate uveitis. Journal of Cataract and Refractive Surgery 29(10): 2013-2014, 2003

Spontaneous posterior dislocation of intraocular lenses fixated in the capsular bag. Journal of Cataract and Refractive Surgery 28(9): 1689-1693, 2002

Spontaneous dislocation of the posterior chamber intraocular lens. International Ophthalmology 38(3): 1111-1117, 2018

Comparison of clinical outcomes between iris-fixated anterior chamber intraocular lenses and scleral-fixated posterior chamber intraocular lenses in Marfan syndrome with lens subluxation. Clinical and Experimental Ophthalmology 40(3): 268-274, 2012

Results of exchanging anterior chamber lenses with sulcus-fixated posterior chamber IOLs without capsular support in penetrating keratoplasty. Ophthalmic Surgery 20(7): 465-468, 1989

Intraocular lenses for the correction of refraction errors. Part II. Phakic posterior chamber lenses and refractive lens exchange with posterior chamber lens implantation. Der Ophthalmologe 102(11): 1105, 2005

Posterior chamber intraocular lenses in a series of 75 autopsy eyes. Part I: Loop location. Journal of Cataract and Refractive Surgery 12(4): 358-362, 1986

Decentration of flexible loop posterior chamber intraocular lenses in a series of 222 postmortem eyes. Ophthalmology 95(3): 344-349, 1988