Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review
Intraocular lens dislocation is an uncommon complication of cataract surgery. This review presents an updated summary of the secondary intraocular lens (IOL) options that are described in the literature for the management of IOL subluxation or dislocation. A broad review of the literature was perfor...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/tjosr.tjosr_86_24 |
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| _version_ | 1841527014115246080 |
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| author | Alexander Maloof Ava James Nicholas Pavic Shane Zhang Stephanie Wu Christopher Go |
| author_facet | Alexander Maloof Ava James Nicholas Pavic Shane Zhang Stephanie Wu Christopher Go |
| author_sort | Alexander Maloof |
| collection | DOAJ |
| description | Intraocular lens dislocation is an uncommon complication of cataract surgery. This review presents an updated summary of the secondary intraocular lens (IOL) options that are described in the literature for the management of IOL subluxation or dislocation. A broad review of the literature was performed. We evaluated different techniques for both IOL lens rescue and secondary IOLs, with a focus on the latter. We structured our review of each option by the salvageability of the IOL, the preservation of the bag, and subsequently the adequacy of capsular support. We then evaluated the techniques available for each option, with a clinical focus on the anatomical indications, technical considerations, advantages, and potential complications, before proposing an algorithm for determining the selection of each major secondary IOL implantation technique. While there are numerous IOL techniques and lens options for addressing IOL dislocation, there is currently no consensus on the optimal method. The choice of secondary IOL and fixation techniques are often guided by patient anatomy and the nature of the dislocation, but in many cases are decided upon the surgeon’s experience and preference. |
| format | Article |
| id | doaj-art-3935cad1c3624593ad158b9cee77127b |
| institution | Kabale University |
| issn | 2589-4528 2589-4536 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj-art-3935cad1c3624593ad158b9cee77127b2025-01-16T07:06:14ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362024-12-0162441241910.4103/tjosr.tjosr_86_24Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A ReviewAlexander MaloofAva JamesNicholas PavicShane ZhangStephanie WuChristopher GoIntraocular lens dislocation is an uncommon complication of cataract surgery. This review presents an updated summary of the secondary intraocular lens (IOL) options that are described in the literature for the management of IOL subluxation or dislocation. A broad review of the literature was performed. We evaluated different techniques for both IOL lens rescue and secondary IOLs, with a focus on the latter. We structured our review of each option by the salvageability of the IOL, the preservation of the bag, and subsequently the adequacy of capsular support. We then evaluated the techniques available for each option, with a clinical focus on the anatomical indications, technical considerations, advantages, and potential complications, before proposing an algorithm for determining the selection of each major secondary IOL implantation technique. While there are numerous IOL techniques and lens options for addressing IOL dislocation, there is currently no consensus on the optimal method. The choice of secondary IOL and fixation techniques are often guided by patient anatomy and the nature of the dislocation, but in many cases are decided upon the surgeon’s experience and preference.https://journals.lww.com/10.4103/tjosr.tjosr_86_24cataract surgeryintraocular lens dislocationscleral-fixated iolsecondary intraocular lenssecondary iolzonular instability |
| spellingShingle | Alexander Maloof Ava James Nicholas Pavic Shane Zhang Stephanie Wu Christopher Go Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review TNOA Journal of Ophthalmic Science and Research cataract surgery intraocular lens dislocation scleral-fixated iol secondary intraocular lens secondary iol zonular instability |
| title | Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review |
| title_full | Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review |
| title_fullStr | Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review |
| title_full_unstemmed | Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review |
| title_short | Secondary Intraocular Lens Options in Intraocular Lens Dislocation: A Review |
| title_sort | secondary intraocular lens options in intraocular lens dislocation a review |
| topic | cataract surgery intraocular lens dislocation scleral-fixated iol secondary intraocular lens secondary iol zonular instability |
| url | https://journals.lww.com/10.4103/tjosr.tjosr_86_24 |
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