Management of dislocated foldable intraocular lenses.

BACKGROUND: Foldable intraocular lenses (IOLs) have replaced rigid IOLs as the standard for cataract surgery. As with their predecessors, some foldable IOLs manifest dislocation. The applicability of techniques developed for dislocated rigid IOLs to dislocated foldable IOLs has not been widely studied.

PURPOSE: The purpose of this study was to evaluate the results of management techniques for dislocated foldable IOLs.

DESIGN: Retrospective, interventional case study.

RESULTS: Thirty-two eyes underwent repair including repositioning without scleral sutures (17 eyes), repositioning using scleral suture (8), and IOL exchange (7). IOL types included silicone plate IOLs (15 eyes), 3-piece acrylic IOLs (12), and others (5). The visual acuity outcomes and complication rates were similar for all IOL types and surgical techniques.

CONCLUSION: With minimal modifications and a few important exceptions, previously reported techniques for management of dislocated IOLs, including repositioning with or without scleral suture fixation, may be applied effectively to many styles of foldable IOLs.