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JAMA Ophthalmol. 2013 Jan;131(1):86-7. doi: 10.1001/jamaophthalmol.2013.563.

Management of 2 intraocular lenses in the same eye.

Author information

  • 1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Florida 33136, USA.

Abstract

OBJECTIVE:

To present options for managing a patient with a dislocated intraocular lens (IOL) in the presence of a second, nondislocated IOL.

METHODS:

A review of 3 consecutive cases and the surgical maneuvers used in managing them.

RESULTS:

The anterior chamber IOL was removed after scleral fixating the dislocated posterior chamber IOL in 1 case with corneal disease. The foldable, dislocated, original posterior chamber IOL was manipulated around an existing posterior chamber IOL and then removed at the limbus in 2 other cases. The visual acuity and retained IOL were stable in all 3 eyes.

CONCLUSIONS:

Existing techniques with minimal modifications can be applied to managing an eye with a dislocated IOL and a coexisting nondislocated IOL with satisfactory results, but treatment needs to be customized to the specific situation.

PMID:
23307213
[PubMed - indexed for MEDLINE]
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