Management of subluxed and dislocated intraocular lenses in patients with uveitis: a practical approach. (17th November 2021)

• Record Type: Journal Article
• Authors: Jones, NP; Jalil, A; Steeples, LR
• Is Part Of: Ocular immunology and inflammation. Volume 29:Number 7/8(2021)
• Page Start: 1553
• Page End: 1558
• Publication Date: 2021-11-17
• Subjects: Uveitis -- cataract -- intraocular lens -- dislocation -- subluxation; Eye -- Diseases -- Immunological aspects -- Periodicals; Eye -- Inflammation -- Periodicals; 617.7
• DOI: 10.1080/09273948.2020.1764592
• Languages: English
• ISSNs: 0927-3948

Abstract

ABSTRACT: Purpose : To describe practical approaches to the management of subluxed or dislocated intraocular lenses (IOL) in patients with uveitis. Patients and methods : Retrospective case series from a specialist uveitis clinic Results : Fifteen IOLs in 13 patients were subluxed inferiorly (12) or dislocated into anterior chamber (2) or vitreous (1) at a mean delay of 12 years after cataract surgery. Six eyes required vitrectomy and seven IOL explantation. A dislocated IOL was repositioned by scleral fixation in one, and a new IOL was implanted in three (two scleral-sutured, one iris-claw). Eight were observed without surgery and 7 were left functionally aphakic (4 corrected with contact lens). The mean final best-corrected visual acuity was 0.6 LogMAR. Conclusions : There are several management choices for IOL dislocation which should take into account the degree of uveitis, patient age and expectations. We present a pragmatic approach: surgery can often be avoided in this high-risk group.