Primary anterior chamber intraocular lens for the treatment of severe crystalline lens subluxation.

Abstract

Subluxated cataractous and clear lenses are commonly treated by limbal or pars plana lensectomy followed by primary or secondary intraocular lens (IOL) implantation. Adjunctive capsular prosthetic devices have facilitated lens removal and IOL centration in these challenging cases but have also added complexity and potential complications to the procedure. Although crystalline lens extraction may be required to clear the visual axis in mild to moderate lens subluxations, we propose insertion of a primary anterior chamber IOL without lens extraction in severe subluxations when the eye is optically aphakic or can be made functionally aphakic following neodymium:YAG laser zonulysis. Two cases demonstrating this approach are presented.

• Authors: Richard S Hoffman, I Howard Fine, Mark Packer
• Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg) Vol. 35 Issue 10 Pg. 1821-5 (Oct 2009) ISSN: 1873-4502 [Electronic] United States
• PMID: 19781480 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Anterior Chamber (surgery)
• Female
• Humans
• Lens Implantation, Intraocular (methods)
• Lens Subluxation (surgery)
• Lenses, Intraocular
• Male
• Middle Aged
• Phacoemulsification
• Refraction, Ocular (physiology)
• Visual Acuity (physiology)