Surgical management of intraocular lens malposition


M. Ferreira, B. Feijóo, J. Cabral, A. Souza e Silva, F. Esperancinha, I. Prieto

     Purpose: To show different approaches in the surgical management of intraocular lens malposition.
     Methods: The authors present 15 cases of intraocular lens (IOL) malposition including: decentration, different types of subluxation, anterior and posterior dislocation, and inverted implantation. In the majority of the cases, it was possible to exchange or reposition the foldable IOL, with topical anaesthesia and through a small incision. Different surgical manoeuvres were used to resolve the IOL problems, intraoperatively or in a reoperation. The authors show a video presentation of the different techniques.
     Results: There were no surgical or post surgical complications. Some difficulty of the surgical approaches increased with the amount of the time between the first and second surgery. All the cases presented a good and rapid visual recovery.
     Conclusions: Several less aggressive surgical procedures allowed a very good resolution of different cases of IOL malposition, particularly in the cases of foldable intraocular lens malposition and without difficulty in the cases of an early surgical intervention.


no XXIV Congress of the European Society of Cataract and Refractive Surgeons, em Londres, Setembro de 2006