Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature

Ascaso, Francisco J.; Huerva, Valentín; Grzybowski, Andrzej

doi:10.1155/2015/805706

Cited by 108 publications

(123 citation statements)

References 75 publications

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“…In uveitis, an altered blood-aqueous barrier may allow cytokines to stimulate epithelial cell proliferation and increase capsule contraction. In addition, inflammation of the ciliary body could destabilize the zonules at their insertion sites [10].…”

Section: Discussionmentioning

confidence: 99%

Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique

Ram¹,

Singh²,

Hemanth³

et al. 2017

J Clin Exp Ophthalmol

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Treatment options for symptomatic subluxated or dislocated IOLs include observation; and repositioning, removal, or exchange of the IOL. We describe a surgical technique of trans-scleral suture fixation for subluxated bag-IOL complex. A 29 year old male; known case of bilateral recurrent tubercular panuveitis underwent left eye phacoemulsification with three piece hydrophobic acrylic IOL implantation a decade ago. He presented with decreased vision and monocular diplopia since one week. A diagnosis of subluxated bag-IOL complex was made. A 9-0 polypropylene suture was passed beneath the opposite scleral flaps and was taken out through superior stab incision. After exteriorizing both the haptics, they were sutured with prolene. Bag-IOL complex was centered and was fixated trans-sclerally under the scleral flaps. The bag-IOL complex remained stable and well centered 12 months following trans-scleral suture fixation with good visual outcome. This technique can be used in any case of postoperative bag-IOL complex subluxation or dislocation to achieve stabilization.

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Section: Discussionmentioning

confidence: 99%

Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique

Ram¹,

Singh²,

Hemanth³

et al. 2017

J Clin Exp Ophthalmol

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“…The presence of pseudoexfoliation holds further significance aside from the risk of intraoperative complications, however. Ascaso et al observed that more than half of all late (greater than three months after surgery) IOL-capsule complex dislocations are attributable to pseudoexfoliation syndrome (38). …”

Section: Ocular Manifestationsmentioning

confidence: 99%

Genetics, Diagnosis, and Monitoring of Pseudoexfoliation Glaucoma

Nathan

Kuchtey

2016

Curr Ophthalmol Rep

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Recent studies have shed new light on the genetic factors underlying pseudoexfoliation syndrome, growing our understanding of the role of the lysyl oxidase-like 1 (LOXL1) gene and its various polymorphisms as well as identifying new genetic associations. Recent years have brought new insight on how these genetic factors interact with other factors, including environmental, to confer risk to individuals and populations worldwide. All of these findings may hold importance to the screening, diagnosis, and monitoring of pseudoexfoliation and may also help lead to the identification of novel therapeutic targets. This review serves as an update on the recent trends and findings in pseudoexfoliation syndrome.

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“…Dislocation of an intraocular lens (IOL) implanted during cataract surgery is one of the problems encountered during surgery [1]. Although this complication occurs frequently in eyes with an out-of-the-bag IOL with a partially damaged lens capsule, weakness or rupture of Zinn's zonule could cause displacement of the capsular bag that contains an IOL [2,3].…”

Section: Introductionmentioning

confidence: 99%

A Case of Repeating Transient Increase in Intraocular Pressure by Instability of an Intraocular Lens Implanted in the Capsular Bag

Takada¹,

Sumioka²,

Ishikawa³

et al. 2020

Case Rep Ophthalmol

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KeywordsIn-the-bag intraocular lens · Dislocation of an intralocular lens · Repeating increase in intraocular pressure and normalization · In situ scleral refixation AbstractWe observed repeated episodes of rapid increases in intraocular pressure (IOP) considered to be caused by an in-the-bag intraocular lens (IOL) instability in a patient with an implanted IOL. As acute glaucoma attack-like increase in IOP was noted in the left eye on November 8, she was admitted to Wakayama Medical University Hospital. The findings at the first examination included an IOP of 62 mm Hg, instability of a PMMA one-piece IOL, shallow anterior chamber, narrow angle, moderate mydriasis, and loss of pupillary light reaction in the left avitreous eye. On November 15, a 6-mm Hg increase in IOP was observed during 60-min dark room prone provocative testing. After the first examination, the patient perceived pain and reduced visual acuity of the left eye and emergently consulted our hospital twice. Despite miosis, normalization of the anterior chamber depth and IOP with widening of the angle were achieved by resting in the supine position. These episodes were thought to be caused by instability and anterior shift of the IOL. On January 17, 2018, suture fixation of the in-the-bag IOL was performed. The IOL was fixed by transscleral suturing of the bilateral supporting parts to the sclera. Recurrence of sudden ophthalmalgia, instability of the in-the-bag IOL, and an increase in IOP have not been observed for 1 year after surgical treatment. Instability of an in-the-bag IOL caused Case

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Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature

Cited by 108 publications

References 75 publications

Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique

Scleral Fixation of Sinking Bag-IOL Complex: A New Surgical Technique

Genetics, Diagnosis, and Monitoring of Pseudoexfoliation Glaucoma

A Case of Repeating Transient Increase in Intraocular Pressure by Instability of an Intraocular Lens Implanted in the Capsular Bag

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