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July 1993

Surgical Management of Subluxed Posterior-Chamber Intraocular Lenses

Author Affiliations

From the Wilmer Institute, Johns Hopkins Hospital, Baltimore, Md, and the Department of Ophthalmology, University of Illinois at Chicago.

Arch Ophthalmol. 1993;111(7):919-926. doi:10.1001/archopht.1993.01090070037015

Objective:  To formulate a systematic approach to the surgical management of subluxed posterior-chamber intraocular lenses (IOLs).

Design:  We reviewed the records of 31 consecutive patients who underwent anterior-segment surgery for IOL subluxation. Presumed anatomic causes of IOL subluxation were identified in 28 cases (90%). Three surgical procedures were used to correct the implant subluxation: modified McCannel sutures (19 eyes), IOL exchange (eight eyes), or IOL rotation (four eyes).

Results:  Twenty-nine (94%) of the 31 patients obtained a postoperative visual acuity of 20/40 or better. Surgical complications included persistent vitreous in the anterior chamber (three cases), progressive capsular opacification (two cases), and anterior chamber and vitreous hemorrhage (one case).

Conclusions:  Our results show that, by implementing a planned surgical approach, subluxed posterior-chamber IOLs can be safely and effectively managed.

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