April 21, 2017 Conference
IOL Subluxation - Reposition Techniques
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Dr. Michael B. Raizman, Ophthalmic Consultants of Boston (Presenter)
Speaker Session Topic
Intraocular lenses may dislocate. Eyes with exfoliation are prone to late dislocation of the entire IOL/capsule bag complex. Complicated cataract surgery can lead to placement of an IOL in the sulcus or only partially in the bag. These IOL’s may shift, causing visual symptoms or uveitis, macular edema, and recurrent hemorrhage. In general, I advocate repositioning an IOL rather than exchanging it, whenever possible. Repositioning can lead to faster recovery of vision and fewer complications. I reviewed my experience with 246 cases of surgical repositioning of IOL’s. I will share strategies for office evaluation and video of surgical techniques. Fixation to the sclera and the iris will be compared. Potential complications will be discussed.