Copyright (c) 2019 Dr. Madhumita Srivastava
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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.
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