Ultrasound biomicroscopy of pseudophakic eyes with chronic postoperative inflammation

Abstract

Irritation of ocular tissues by an IOL was the main cause of chronic postoperative noninfectious inflammation in pseudophakic eyes. Therefore, detecting the IOL position and its relationships to ocular tissues is very important in planning the treatment. Ultrasound biomicroscopy is a practical method that accurately provides this information.

Incidence of early-onset glaucoma after infant cataract extraction with and without intraocular lens implantation

“…Implantation was aborted after the IOL showed evidence of posterior migration usually through the posterior capsulorhexis. Under such circumstances, we have been reluctant to place an IOL in the sulcus, because of two reasons: first, when an IOL is placed in the ciliary sulcus, studies have shown that the haptics cause chronic inflammatory changes with peripheral anterior synechiae19 and induce iris root/trabecular meshwork changes 20. Second, one of the few studies to suggest that the axial growth of the pseudophakic infant eye is arrested/retarded was one in which the IOLs were all places in the ciliary sulcus of infant eyes 21.…”

Haptic-induced postoperative complications. Evaluation using ultrasound biomicroscopy

“…UBM can be used to localize haptic position in relation to the iris and ciliary body. 3 In all cases described in this article, UBM revealed malposition of the IOL. This was obvious at the pupillary margin where the distance of the IOL from the posterior surface of the iris at the pupillary edge Table 1).…”

Ultrasound biomicroscopy in the management of complex cataract and intraocular lens: A review

“…UBM is critical in evaluating the underlying cause, specifically the IOL and optic/haptic positions in relation to the iris and ciliary body 48 . Malpositioned IOLs, especially sulcus‐positioned IOLs, account for almost 70% of eyes with chronic non‐infectious postoperative inflammation evaluated with UBM 62 . IOL malposition may occur due to zonulysis with a subluxed IOL‐capsular bag complex, or due to an abnormal haptic and/or optic position due to incorrect implantation or secondary causes that develop over time.…”