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Management of dislocated intraocular lenses in eyes with insufficient capsular support

Dajee, Kruti P.; Abbey, Ashkan M.; Williams, George A.

Current Opinion in Ophthalmology: May 2016 - Volume 27 - Issue 3 - p 191–195
doi: 10.1097/ICU.0000000000000260
RETINAL, VITREOUS AND MACULAR DISORDERS: Edited by Brandon G. Busbee and John W. Kitchens
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Purpose of review To review the different techniques for management of dislocated intraocular lenses in eyes with insufficient capsular support with a focus on recent studies and techniques reported in the literature.

Recent findings Visual outcomes generally improve regardless of intraocular lens selection and surgical techniques. New techniques include sutureless scleral fixation with the use of posterior segment tools and use of hybrid instrumentation for 25-/27-gauge vitrectomy.

Summary IOL selection and surgical technique should be tailored to each patient based on the preexisting disorder that led to the dislocation. The decision ultimately depends on surgeon comfort and experience with the procedure, and the presenting pathology.

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aDepartment of Ophthalmology, University of Texas Southwestern

bTexas Retina Associates, Dallas, Texas

cDepartment of Ophthalmology, Oakland University William Beaumont School of Medicine, Beaumont Eye Institute

dAssociated Retinal Consultants, Royal Oak, Michigan, USA

Correspondence to George A. Williams, MD, Associated Retinal Consultants, P.C. William Beaumont Hospital 3535 West Thirteen Mile Road, Suite 344, Royal Oak, MI 48073, USA. Tel: +1 248 288 2280; fax: +1 248 288 5644; e-mail: gwilliams@beaumont.edu

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