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Keye L. Wong, MD; Harry B. Grabow, MD

Arch Ophthalmol. 2001;119:273-274.

ABSTRACT
Visual loss caused by posterior dislocation of an intraocular lens (IOL) may be managed by placement of a secondary IOL without removal of the dislocated IOL. However, the improved visual acuity may lead to visual disturbances from the mobile, dislocated IOL. Removal of dislocated implants through the pars plana entails risks of a large pars plana incision to include hemorrhage, hypotony, and a greater potential for vitreous traction caused by extraction across the vitreous base. Removal via the corneal limbus lessens these risks but is made more difficult in the presence of a coexisting posterior chamber IOL. The technique reported allows a controlled conversion from posterior to anterior segment surgical techniques that may aid in either the removal or repositioning of posteriorly dislocated lens implants.

From the Sarasota Retina Institute Research Foundation, Sarasota, Fla (Dr Wong); the Department of Ophthalmology, University of South Florida, Tampa (Drs Wong and Grabow); and the Sarasota Cataract and Laser Institute, Sarasota, Fla (Dr Grabow).