Journal of Medical Case Reports and Reviews

an Open Access Publication

DELAYED DISLOCATION OF IOL: OCCULT INTRAOCULAR FOREIGN BODY OR TRAUMA CAN BE THE REASON

Dr. Madhumita Srivastava
Postgraduate Resident ophthalmologist, Bokaro General Hospital, Jharkhand, Bokaro General Hospital, Jharkhand
  • Articles
  • Submited: September 4, 2019
  • Published: September 16, 2019

Abstract

Delayed dislocation of an IOL is a complication which cannot be prevented or predicted but may cause profound visual loss in a good pseudophakic eye.

AIM: To analyse risk factors associated with all the cases of delayed dislocation of IOLs.

METHODS: Hospital based prospective intervention study during 2003-2018.All cases of dislocated IOLs were included. Cases with history of surgical complications were excluded. Routine investigations with MRI were done. Multivariate analysis to detect risk factors was done.

RESULTS: Out of 25 cases 3 cases with h/o PCR were excluded. Mean age:63.2 years,  male: female ratio :5:1.Mean interval:6.5 years.12 cases of Iris claw lens dislocated in AC,3 cases of PCIOL with IOFB detected on MRI,5 cases of trauma with perfect capsulorrhexis, 2 cases of pseudo exfoliation ,2 cases had longer axial length(>26mm).Multivariate analysis confirmed occult IOFB and trauma as risk factor.

CONCLUSION: Occult IOFB and trauma can lead to delayed dislocation of IOL.

References

1. S L Pueringer, D O Hodge, J C Erie. Risk of Late Intraocular Lens Dislocation after Cataract Surgery, 1980–2009: A Population-Based Study. Am J Ophthalmol 2011;152:618–623
2. ShingletonBJ, Yang Y, O’DonoghueMW. Management and outcomes of intraocular lens dislocation in patients with pseudo exfoliation. J Cataract Refract Surg2013; 39: 984–93.
3. Hayashi K, Hirata A, Hayashi H. Possible predisposing factors for in-the-bag and out-of-the bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery. Ophthalmology 2007; 114:969-75.
4. MonestramEI. Incidence of dislocation of intraocular lenses and pseudophakodonesis10 years after cataract surgery. Ophthalmology 2009; 116:2315-320.
How to Cite
Srivastava, D. M. (2019). DELAYED DISLOCATION OF IOL: OCCULT INTRAOCULAR FOREIGN BODY OR TRAUMA CAN BE THE REASON. Jmcrr, 2(9). Retrieved from http://jmcrr.info/index.php/jmcrr/article/view/104
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