Spontaneous in-the-Bag Intraocular Lens Luxation into the Vitreous Cavity: Last-Stage Complication of Pseudoexfoliative Syndrome after Phacoemulsification
Purpose: We describe 8 cases of late spontaneous in-the-bag intraocular lens (IOL) luxation into the vitreous cavity, which occurred at the Department of Ophthalmology and Neurosurgery of the University of Siena between January and December 2006. Methods: In this interventional case series, the medi...
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Veröffentlicht in: | Ophthalmologica (Basel) 2009-01, Vol.223 (5), p.339-342 |
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Sprache: | eng |
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Zusammenfassung: | Purpose: We describe 8 cases of late spontaneous in-the-bag intraocular lens (IOL) luxation into the vitreous cavity, which occurred at the Department of Ophthalmology and Neurosurgery of the University of Siena between January and December 2006. Methods: In this interventional case series, the medical records of all patients with posterior luxation of in-the-bag IOLs – who had undergone a pars plana vitrectomy with IOL removal and scleral fixation IOL implantation between January and December 2007 at the Department of Ophthalmology and Neurosurgery of Siena, Italy – were retrospectively reviewed. Results: The final post- operative visual acuity was 20/30 or better in 6 patients, while myopic macular degeneration and total retinal detachment limited visual acuity in the remaining 2 patients. Conclusion: The high prevalence of pseudoexfoliation (PEX) in the patients who had been operated for cataract phacoemulsification in our department could explain the occurrence of 8 posterior luxations of in-the-bag IOLs in only 1 year. Our study suggests that for the next years we will expect an increase in occurrence of spontaneous in-the- bag IOL luxations in the vitreous cavity. This condition could represent the last stage of PEX syndrome. |
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ISSN: | 0030-3755 1423-0267 |
DOI: | 10.1159/000223750 |