A Modified Iris Suture Technique for In-the-bag Intraocular Lens Dislocation

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Excerpt

Clinically significant posterior chamber intraocular lens (PCIOL) decentrations or dislocations occur in the aftermath of approximately 2% to 3% of cataract surgeries.1 Early in- or out-of-the-bag intraocular lens (IOL) dislocations arise within 3 months of surgery, primarily as a result of traumatic zonular or capsular rupture, respectively. Recently, increasing attention has been focused on late in-the-bag IOL dislocations, which occur more frequently than previously recognized (in ∼0.1–1.7% of cases), and result from zonular incompetence and dehiscence, occurring more than 3 months postoperatively.2 Predisposing factors may include pseudoexfoliation, trauma, uveitis, and previous vitrectomy.
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