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Br J Ophthalmol 2006;90:917-918 doi:10.1136/bjo.2005.089201
  • Letter

Management of two dislocated posterior chamber lenses in eyes with pseudoexfoliation

  1. J Yepez1,
  2. F R Prall2,
  3. J F Arevalo3,
  4. J de Yepez4,
  5. F Contreras4,
  6. E Matheus4
  1. 1Clinica de Ojos de Maracaibo, Maracaibo, Venezuela
  2. 2University of Colorado, Denver, CO, USA
  3. 3Clinica Oftalmológica Centro Caracas, Caracas, Venezuela
  4. 4Clinica de Ojos de Maracaibo, Maracaibo, Venezuela
  1. Correspondence to: J Fernando Arevalo MD, FACS, Clinica Oftalmologica Centro Caracas, Edificio Centro Caracas PH-1, Av Panteon, San Bernardino. Caracas 1010, Venezuela; areval1{at}telcel.net.ve
  • Accepted 1 March 2006

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.

Case reports

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 …

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