Spontaneous late in-the-bag intraocular lens dislocation after can-opener capsulotomy: case report

Coelho, Roberto Pinto; Zanatto, Maria Cristina; Paula, Jayter Silva; Romão, Erasmo

doi:10.1590/s0004-27492005000600030

Cited by 6 publications

(15 citation statements)

References 14 publications

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“…We observed dislocation 2.5 to 8 years after uneventful phacosurgery, similar to Coelho et al’s 3 case. These observations support that dislocations may occur much later than CCS development.…”

Section: Discussionsupporting

confidence: 90%

“…To correct visual deterioration they had removed dislocated IOLs from the bag and implanted rigid IOLs in the sulcus for each patient. Coelho et al 3 reported a 58-year-old patient with significant inferonasal subluxation of the IOL with a contracted capsular bag 3 years after surgery, similar to our cases. To prevent luxation into the vitreous, their patient underwent complete capsular bag and IOL removal and implantation of another IOL in the ciliary sulcus by scleral fixation.…”

Section: Discussionsupporting

confidence: 89%

“…1,2 These changes could lead to intraocular lens (IOL) decentration within the capsular bag followed by dislocation or total IOL luxation into the vitreous cavity. 3,4,5 Early IOL dislocation occurs in cataract surgery with inadequate support for the IOL resulting from intraoperative zonular or capsular damage, but late dislocation following uncomplicated surgery usually occurs several months to many years postoperatively. 4,5,6,7,8 …”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Altıntaş¹,

Omay²,

Çelik³

2017

tjo

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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.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Altıntaş¹,

Omay²,

Çelik³

2017

tjo

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“…Early dislocations are defined as dislocation within first 3 months of initial cataract surgery, although early dislocation is mostly observed during the first week postoperatively (2,11,12) . The most common cause of early dislocation is reported as zonular rupture, followed by advancing age, trauma, and pseudoexfoliation (11,13) .…”

Section: Discussionmentioning

confidence: 99%

Surgical management of intraocular lens dislocations

Gül¹,

Duran²,

Can³

et al. 2015

Arquivos Brasileiros De Oftalmologia

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Purpose: To report and compare the surgical, visual, and anatomical outcomes following treatment of dislocated intraocular lenses (IOLs). Methods: The medical records of 28 eyes of 28 patients were evaluated. Age, gender, pre-and postoperative best-corrected visual acuity (BCVA), surgical methods, and complications were recorded. Results: Pre-and postoperative BCVA ranged from counting fingers to 20/32 and from counting fingers to 20/25, respectively. Late-onset dislocations were the most frequently observed complication. The most frequent surgical method was IOL repositioning in 15 of 28 patients, followed by IOL exchange in 11 patients, and IOL removal in 2 patients. Only 1 patient required surgical re-intervention with IOL capture. Conclusions: Visual acuity improved following the use of either IOL repositioning or IOL exchange. No superiority of one method over the other was observed.In the present retrospective case series, management of dislocated IOLs with repositioning or exchange of the primary implant conferred comparable surgical and visual outcomes. Keywords

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“…Durante a etapa do tratamento do núcleo pela facoemulsificação, o uso de alto vácuo, aspiração alta e pressão de irrigação elevada, podem provocar injuria zonular (7) . Acreditamos que a diferença na prevalência da capsulotomia anterior descontínua entre os dois autores se deva à diferença de períodos comparados e critérios das causas.…”

Section: Marquesunclassified

A capsulotomia descontínua durante a facoemulsificação

Centurion¹,

Lacava²,

Caballero³

2011

Rev. bras.oftalmol.

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RESUMOObjetivo: Descrever a prevalência, localização e causas da capsulotomia descontínua durante a cirurgia de catarata por facoemulsificação. Métodos: Estudo retrospectivo, consecutivo, não comparativo de 971 cirurgias de catarata com capsulotomia descontínua no per-cirúrgico entre janeiro de 2009 a junho de 2010. Resultados: Observou-se uma prevalência de 0,02% e a descontinuação da cápsula ocorreu em 100% das vezes durante o tratamento do núcleo. Em 58.33% dos olhos o implante foi realizado no saco capsular e em 41.67% no sulco ciliar. A AV ≥ 20/30 em 100% dos olhos. Conclusão: apesar de ser uma intercorrência pouco frequente, pode comprometer o resultado final.Descritores: Lentes intraoculares; Extração de catarata/métodos; Facoemulsificação/métodos; Capsulorrexe/ métodos ABSTRACT Objective: To describe the prevalence, location and causes of discontinuous capsulotomy during phacoemulsification cataract surgery. Methods: Retrospective, consecutive, non-comparative study of 971 cataract surgeries -with discontinuous capsulotomy during surgery -performed from January 2009 to June 2010. Results: it was observed a prevalence of 0.02% and capsule discontinuation occurring 100% of the time during the treatment of the nucleus. In 58.33% of the eyes the implant was done in the capsular bag and in 41.67% in the ciliary sulcus. VA ≥ 20/30 in 100% of the eyes. Conclusion: despite the fact that it is a not too frequent event, it may compromise the final result.

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Spontaneous late in-the-bag intraocular lens dislocation after can-opener capsulotomy: case report

Cited by 6 publications

References 14 publications

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Spontaneous Late Intraocular Lens and Capsule Tension Ring Dislocation

Surgical management of intraocular lens dislocations

A capsulotomia descontínua durante a facoemulsificação

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