Background factors determining the time to intraocular lens dislocation.
Humans
Retrospective Studies
Female
Male
Aged
Middle Aged
Artificial Lens Implant Migration
/ surgery
Lenses, Intraocular
/ adverse effects
Aged, 80 and over
Time Factors
Visual Acuity
Adult
Sclera
/ surgery
Suture Techniques
Follow-Up Studies
Lens Implantation, Intraocular
/ methods
Postoperative Complications
Capsular tension ring
IOL explantation
Intrascleral IOL fixation
Late IOL dislocation
Pseudoexfoliation syndrome
Zonule weakness/dehiscence
Journal
International ophthalmology
ISSN: 1573-2630
Titre abrégé: Int Ophthalmol
Pays: Netherlands
ID NLM: 7904294
Informations de publication
Date de publication:
21 Jun 2024
21 Jun 2024
Historique:
received:
27
01
2024
accepted:
15
06
2024
medline:
21
6
2024
pubmed:
21
6
2024
entrez:
21
6
2024
Statut:
epublish
Résumé
To clarify the characteristics of intraocular lens (IOL) dislocation requiring IOL suture or intraocular scleral fixation. This retrospective consecutive case series included 21 eyes (21 patients) who required sutured or sutureless intrascleral IOL fixation following IOL extraction owing to IOL dislocation at the outpatient clinic in the Department of Ophthalmology, Saitama Red Cross Hospital, Japan, between January and December 2019. Medical records were retrospectively reviewed for background diseases, location of the dislocated IOL (intracapsular/extracapsular), insertion of a capsular tension ring (CTR), and the period from IOL insertion to dislocation. We included 21 eyes of 21 patients who required IOL suture or intrascleral fixation for IOL dislocation at our clinic from January to December 2019 were included. The most common background disease was pseudoexfoliation syndrome (four cases), followed by atopic dermatitis, dysplasia/dehiscence of the zonule, post-retinal detachment surgery, high myopia, and uveitis (three cases each). At the time of dislocation, the IOLs were either intracapsular (16 cases, including 3 cases with CTR insertion) or extracapsular (5 cases). The time from IOL insertion to IOL dislocation was 13.7 ± 8.1 years (maximum: 31.3 years, minimum: 1.7 years). In this study, all 21 cases represented late IOL dislocations occurring after 3 months postoperatively. Among these late IOL dislocation cases, IOL dislocation occurred in a short-medium period of time, especially in those with CTR insertion and weakness/dehiscence of the zonule, with an average of 3 to 5 years postoperatively. We propose referring to these cases as intermediate-term IOL dislocation.
Identifiants
pubmed: 38904711
doi: 10.1007/s10792-024-03166-x
pii: 10.1007/s10792-024-03166-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
240Subventions
Organisme : Japan Society for the Promotion of Science
ID : 19 K18837
Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer Nature B.V.
Références
Klein R, Klein BE (2013) The prevalence of age-related eye diseases and visual impairment in aging: current estimates. Invest Ophthalmol Vis Sci. https://doi.org/10.1167/iovs.13-12789
doi: 10.1167/iovs.13-12789
pubmed: 24335069
pmcid: 4139275
Pueringer SL, Hodge DO, Erie JC (2011) Risk of late intraocular lens dislocation after cataract surgery, 1980–2009: a population-based study. Am J Ophthalmol 152:618–623
doi: 10.1016/j.ajo.2011.03.009
pubmed: 21683329
pmcid: 3783201
Monestam EI (2009) Incidence of dislocation of intraocular lenses and pseudophakodonesis 10 years after cataract surgery. Ophthalmology 116:2315–2320
doi: 10.1016/j.ophtha.2009.05.015
pubmed: 19815277
Monestam E (2019) Frequency of intraocular lens dislocation and pseudophacodonesis, 20 years after cataract surgery–a prospective study. Am J Ophthalmol 198:215–222
doi: 10.1016/j.ajo.2018.10.020
pubmed: 30691613
Kristianslund O, Dalby M, Drolsum L (2021) Late in-the-bag intraocular lens dislocation. J Cataract Refract Surg 47:942–954
doi: 10.1097/j.jcrs.0000000000000605
pubmed: 33750091
Lee GI, Lim DH, Chi SA, Kim SW, Shin DW, Chung TY (2020) Risk factors for intraocular lens dislocation after phacoemulsification: a nationwide population-based cohort study. Am J Ophthalmol 214:86–96
doi: 10.1016/j.ajo.2020.03.012
pubmed: 32209346
Ascaso FJ, Huerva V, Grzybowski A (2015) Epidemiology, etiology, and prevention of late IOL-capsular bag complex dislocation: review of the literature. J Ophthalmol 2015:805706
doi: 10.1155/2015/805706
pubmed: 26798506
pmcid: 4698990
Davis D, Brubaker J, Espandar L, Stringham J, Crandall A, Werner L, Mamalis N (2009) Late in-the-bag spontaneous intraocular lens dislocation: evaluation of 86 consecutive cases. Ophthalmology 116:664–670
doi: 10.1016/j.ophtha.2008.11.018
pubmed: 19344819
Hayashi K, Hirata A, Hayashi H (2007) Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery. Ophthalmology 114:969–975
doi: 10.1016/j.ophtha.2006.09.017
pubmed: 17320961
Ucar F, Cetinkaya S, Kahraman H, Yener HI (2024) Changes in intraocular lens explantation indications and comparison of various explantation techniques. Am J Ophthalmol 257:84–90
doi: 10.1016/j.ajo.2023.06.025
pubmed: 37422203
Hisato Gunji KA, Itou Y, Gekka T, Tsuneoka H (2010) New surgical technique for cutting foldable intraocular lens, enabling removal through very small incision (in Japanese). Japan J Ophthalmic Surg 23:603–607
Hennekes RL, Van den Dooren KA (1999) Asymmetric L-shaped corneal no-stitchtunnel incisions for cataract surgery. J Cataract Refract Surg 25:550–555
doi: 10.1016/S0886-3350(99)80054-6
pubmed: 10198862
Yamane S, Sato S, Maruyama-Inoue M, Kadonosono K (2017) Flanged intrascleral intraocular lens fixation with double-needle technique. Ophthalmology 124:1136–1142
doi: 10.1016/j.ophtha.2017.03.036
pubmed: 28457613
Lewis JS (1991) Ab externo sulcus fixation: SLACK incorporated thorofare. NJ 22:692–695
Por Y, Lavin M (2005) Techniques of intraocular lens suspension in the absence of capsular/zonular support. Surv Ophthalmol 50:429–462
doi: 10.1016/j.survophthal.2005.06.010
pubmed: 16139038
Kanda Y (2013) Investigation of the freely available easy-to-use software “EZR” for medical statistics. Bone Marrow Transpl 48:452–458
doi: 10.1038/bmt.2012.244
Riedl JC, Rings S, Schuster AK, Vossmerbaeumer U (2023) Intraocular lens dislocation: manifestation, ocular and systemic risk factors. Int Ophthalmol 43:1317–1324
doi: 10.1007/s10792-022-02529-6
pubmed: 36149618
Tokuhisa T, Watanabe T, Watanabe A, Nakano T (2022) Refractive error induced by intraocular lens tilt after intrascleral intraocular lens fixation. Int Ophthalmol 42:1213–1220
doi: 10.1007/s10792-021-02106-3
pubmed: 35064856