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The incidence of displaced posterior chamber intraocular lenses (PCIOL) after cataract surgery has been reported to range from 0.2% to 2.8%.1,2 The occurrence of two dislocated PCIOLs is rare. We evaluated the outcomes of three patients, each with two foldable posterior intraocular lenses dislocated to the vitreous cavity in pseudoexfoliation syndrome.
Three patients underwent surgery for dislocation of two posterior chamber foldable IOLs. Preoperative visual acuities (VA) ranged from 20/300 to 20/400 (table 1). In brief, a two port pars plana vitrectomy was performed using an anterior chamber maintainer with limbal infusion to free the IOLs from surrounding vitreous so they could gently float to the posterior pole (fig 1). At this point, additional anterior vitrectomy with peripheral scleral depression was performed to allow removal of as much anterior vitreous as …