Primary anterior chamber intraocular lens for the treatment of severe crystalline lens subluxation
- 1 October 2009
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Cataract & Refractive Surgery
- Vol. 35 (10), 1821-1825
- https://doi.org/10.1016/j.jcrs.2009.05.019
Abstract
Subluxated cataractous and clear lenses are commonly treated by limbal or pars plana lensectomy followed by primary or secondary intraocular lens (IOL) implantation. Adjunctive capsular prosthetic devices have facilitated lens removal and IOL centration in these challenging cases but have also added complexity and potential complications to the procedure. Although crystalline lens extraction may be required to clear the visual axis in mild to moderate lens subluxations, we propose insertion of a primary anterior chamber IOL without lens extraction in severe subluxations when the eye is optically aphakic or can be made functionally aphakic following neodymium:YAG laser zonulysis. Two cases demonstrating this approach are presented.Keywords
This publication has 19 references indexed in Scilit:
- Capsule fixation device for cataract surgery.European Journal of Ophthalmology, 2009
- Intraoperative performance and postoperative outcomes of endocapsular ring implantation in pediatric eyesJournal of Cataract & Refractive Surgery, 2008
- Entrapment of a Cionni ring hook by the pupil after suture ruptureJournal of Cataract & Refractive Surgery, 2008
- Surgical strategies for the management of zonular compromiseCurrent Opinion in Opthalmology, 2008
- Repositioning and scleral fixation of the subluxated lens capsule using an intraocular anchoring device in experimental modelsJournal of Cataract & Refractive Surgery, 2007
- Late dislocation of scleral-sutured posterior chamber intraocular lensesJournal of Cataract & Refractive Surgery, 2005
- Subluxated lens: Phacoemulsification with iris hooksJournal of Cataract & Refractive Surgery, 2003
- Modified capsular tension ring for patients with congenital loss of zonular supportJournal of Cataract & Refractive Surgery, 2003
- Iris hooks for phacoemulsification of the subluxated lensJournal of Cataract & Refractive Surgery, 1997
- Endocapsular ring approach to the subluxed cataractous lensJournal of Cataract & Refractive Surgery, 1995