IS A TRANSSCLERALLY SUTURED INTRAOCULAR-LENS A POOR PROGNOSTIC FACTORFOR THE MANAGEMENT OF RHEGMATOGENOUS RETINAL-DETACHMENT

Six consecutive cases of retinal detachment that occurred in the prese nce of a transsclerally sutured intraocular lens (IOL) were managed be tween 1991 and 1993. Pars plana vitrectomy and a scleral buckling proc edure were performed in all cases. One case succeeded with a single op eration, another reattached after a repeat operation, and a third succ eeded after three operations, including a relaxing retinotomy. In the fourth case the retina, which had been reattached for 6 months after t he third operation, including removal of IOL and relaxing retinotomy, became bulbarly atrophied after sudden-onset intractable hyphema. The remaining two cases failed because of severe proliferative vitreo-reti nopathy (PVR). The possible risk factors and a recommendation for mana gement are discussed.