Repositioning a decentred PC-IOL combined with capsule cleaning

Session Details

Session Title: Cataract Surgery Complications: IOL Dislocation and Opacification

Session Date/Time: Tuesday 10/10/2017 | 14:00-16:00

Paper Time: 14:44

Venue: Room 3.6

First Author: : Z.Biro HUNGARY

Co Author(s): :                        

Abstract Details

Purpose:

To review the surgical difficulties of decentred PC-IOL reposition, and to discuss the preventive measures to avoid in-out PC-IOL implantation. A 65 years old female patient was referred to our department because of decreased visual acuity in a previously operated eye. Ophthalmological history revealed phacoemulsification cataract surgery with a foldable PC-IOL implantation in another hospital 3 years ago, but unfortunately we had no data about the surgery or about any surgical complications.

Setting:

Department of Ophthalmology, Medical University of Pécs, Hungary

Methods:

Her VA on her right eye was 0,1. Slitlamp examination revealed a subluxated PC-IOL, and a severe PCO (combined fibrosis and Elschnig pearls formation). A reoperation was performed under topical anaesthesia, through a sclero-corneal tunnel incision. Iris hooks were inserted for better orientation. With dilated pupil we could see that the two lower haptics of the four loop hydrophilic acrylic (Akreos AO) PC-IOL were out of the bag, while the two upper haptics were in the bag. The lens could be successfully and completely posistioned in the capsular bag, and the PCO could be significantly removed..

Results:

Visual acuity improved to 0.6, and the patient was very satisfied.

Conclusions:

The so called 'in-out' implantation of the foldable PC-IOL explained the severe downward subluxation of the lens as well as the severe PCO formation. We review the measures how to avoid such complication during surgery.

Financial Disclosure:

NONE