Secondary Intraocular Lenses by the Retinal Surgeon: from Sclerotomies to Sutures

Sieber, Melissa R.; Sridhar, Jayanth

doi:10.1007/s40135-017-0136-1

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Secondary Iol Options1

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2020

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“…40 However, while scleral-sutured and newer sutureless scleral-fixated IOLs techniques are more technically challenging, they can provide a more natural position for the posterior chamber IOL and are less dependent on anterior-segment anatomy. 40,41 IOL insertion can either be done at the time of the initial cataract surgery or in a staged fashion. Typically, if the dislocated nuclear fragment is large and dense, IOL implantation should be deferred until after vitreoretinal intervention to permit easier removal and/or manual extraction.…”

Section: Secondary Iol Optionsmentioning

confidence: 99%

Perioperative Management of Dropped Lenses: Anterior and Posterior Segment Considerations and Treatment Options

Venkateswaran

Medina-Mendez

Amescua

2020

International Ophthalmology Clinics

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Posterior migration of lens fragments into the vitreous cavity is a rare complication of cataract surgery. Sight-threatening sequelae, including persistent intraocular inflammation, secondary glaucoma, corneal edema, cystoid macular edema and retinal detachment, can occur as a result of this complication. As such, judicious intra-operative and post-operative management must be employed to reduce the risk of complications in the setting of retained lens fragments. This often requires the collaboration of anterior and posterior segment surgeons.

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Section: Secondary Iol Optionsmentioning

confidence: 99%