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Juan Giralt, Amanda Rey, MSocorro Alforja, Ricardo Casaroli-Murano, Alfredo Adan Civera; Outcomes Of A New Technique For The Management Of Intraocular Lens And In The Bag Intraocular Lens Dislocated Into The Vitreous Cavity. Invest. Ophthalmol. Vis. Sci. 2012;53(14):3799.
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To describe and evaluate an easy and simple surgical technique to explant intraocular lens (IOL) or in the bag IOL dislocated into the vitreous cavity.
Interventional prospective case series analysis of 10 eyes of 10 patients with dislocated IOL or in the bag IOL. Predisposing factors, preoperative visual acuity, final visual acuity and surgical technique were evaluated. Two port 23G pars plana vitrectomy and aspiration with a 23G silicone cannula of the IOL without perfluorocarbon liquid nor lens forceps was successfully performed in all cases.
All 10 patients had successfully explanted their dislocated IOL or in the bag IOL. Management also included replacement with an anterior or a sulcus IOL, or some patients were left aphakic. Predisposing factors included: pseudoexfoliation syndrome, trauma, high myopia, vitrectomy, uveitis and ciliary body tumor. All patients improved their final visual acuity. The minimum follow up was 6 months.
This easy, simple, fast and effective surgical technique can be performed avoiding the complications and cost related to the use of PFCL and intraocular lens forceps.
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