OBJECTIVE: There are many alternatives available to the vitreoretinal surgeon in the management of posteriorly dislocated @entity2790 ( @entity2790 ). The lens may be repositioned in the ciliary sulcus if there is adequate capsular support, but if this support is absent, it must either be sutured in place (to the sclera or iris) or exchanged for an anterior chamber (AC) @entity2790 . Scleral-sutured IOLs can be associated with @entity548 , @entity1103 , @entity1713 , and @entity3225 (through the suture tract), and use sutures that must last for the lifetime of the @entity1 . Anterior chamber IOLs (ACIOLs) are easier to implant but require a limbal incision for insertion. The authors sought to determine the safety and efficacy of combining removal of posteriorly dislocated IOLs with ACIOL placement. DESIGN: A retrospective chart review, in which all cases of dislocated IOLs managed at the authors' institution over the last 5 years were reviewed. @entity1 characteristics, pre-existing ocular conditions, preoperative visual acuity (VA), intraocular pressure (IOP), type of lens dislocated, operation performed, postoperative VA and IOP, and length of follow-up were recorded. RESULTS: A total of nine cases were identified. Seven of these underwent primary posterior chamber (PC) @entity2790 removal with ACIOL implantation. One had an ACIOL placed after a sulcus-sutured PCIOL dislocated, and one had enough capsular support for placement of a PCIOL after removal of a plate haptic @entity1346 lens. Of the seven primary ACIOL cases, the best-corrected VA improved in five cases, was unchanged in one (remained 20/20), and declined in another. The final postoperative VA (mean follow-up, 12 months) was 20/30 or better in five @entity1 , and was limited by age-related @entity1020 and epiretinal membrane in the other two. A @entity5891 occurred in two @entity1 and cleared in both without visual compromise. There was no evidence of corneal compromise or exacerbation of @entity726 in any of the @entity1 . CONCLUSIONS: Given that the results and complication rates in this small series appear to be similar to those reported for sulcus-suture techniques, implantation of an ACIOL after removal of a posteriorly dislocated @entity2790 appears to be a viable alternative to suture fixation in the absence of capsular support.

Removal of dislocated XXXX using pars plana vitrectomy with placement of an open-loop, flexible anterior chamber lens.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage'] @entity1713 :: ('MESH:D012163', 'Disease') :: ['retinal detachment'] @entity726 :: ('MESH:D005901', 'Disease') :: ['glaucoma'] @entity1103 :: ('MESH:D008269', 'Disease') :: ['cystoid macular edema'] @entity2790 :: ('MESH:D009798', 'Disease') :: ['IOL', 'intraocular lenses'] @entity1346 :: ('MESH:D012828', 'Chemical') :: ['silicone'] @entity1020 :: ('MESH:D008268', 'Disease') :: ['macular degeneration'] @entity5891 :: ('MESH:D006988', 'Disease') :: ['hyphema'] @entity3225 :: ('MESH:D009877', 'Disease') :: ['endophthalmitis']
@entity2790 :: (MESH:D009798,Disease) :: ['intraocular lenses']
