Late onset lens particle glaucoma as a consequence of spontaneous dislocation of an intraocular lens in pseudoexfoliation syndrome

150

131

This review provides a comprehensive assessment of intraocular pressure (IOP), phacoemulsification techniques, and intraocular lenses (IOLs) in pseudoexfoliation (PXF) eyes having cataract surgery. Pseudoexfoliation is ubiquitous and the most common cause for open-angle glaucoma worldwide. Cataracts occur with increased frequency in PXF eyes, and surgery is potentially complicated by the presence of small pupils and zonule laxity and significantly affects IOP in these eyes. Preoperative evaluation and the options for intraoperative management of cataract are presented with recommendations for the use of adjunctive pupil and zonule support devices. Postoperative complications such as capsule contraction and IOL instability are discussed and laser and surgical options to manage these special problems presented.

Section: Pseudoexfoliation and Cataract Surgerymentioning

confidence: 99%

Pseudoexfoliation and the cataract surgeon: Preoperative, intraoperative, and postoperative issues related to intraocular pressure, cataract, and intraocular lenses

Shingleton¹,

Crandall²,

Ahmed³

2009

150

131

“…Careful review of the literature revealed 72 subsequent cases (Table 1). [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] Several case series reporting the management of IOL dislocation included a small number of ''in-the-bag dislocated lenses'' without presenting further information and thus were not included in the present review. 28,29 The exact incidence of this complication is not known.…”

Section: Incidencementioning

confidence: 99%

Late in-the-bag intraocular lens dislocation: Incidence, prevention, and management

Gimbel

Condon²,

Kohnen³

et al. 2005

272

263

Dislocation of an intraocular lens (IOL) with the capsular bag is a late complication of cataract surgery, reported with increasing frequency in recent years. Pseudoexfoliation, uveitis, myopia, and other diseases associated with progressive zonular weakening and capsular contraction are the predisposing conditions. Capsular tension rings probably help but do not prevent this complication. Management includes IOL exchange, replacement with an anterior or a sutured posterior chamber IOL, or suturing the IOL through the bag to the iris or the sclera.

“…Studies report an association between these complications and pseudoexfoliation, uveitis, angle-closure glaucoma, and atopic dermatitis. [5][6][7][8] Of our patients, none had pseudoexfoliation. Two patients had previously documented episodes of anterior uveitis.…”

Section: Discussionmentioning

confidence: 68%

Posterior-assisted levitation: Outcomes in the retrieval of nuclear fragments and subluxated intraocular lenses

Por

Chee

2006