MANAGEMENT OF COMPLICATIONS IN EYES CONTAINING 2 INTRAOCULAR LENSES

Objectives To describe the management of complications in eyes contain ing two intraocular lenses (IOLs), Design: A retrospective noncomparat ive case series. Participants: Eight patients having a dislocated post erior chamber intraocular lens (PC IOL) and a secondary anterior chamb er intraocular lens (AC IOL) participated. Intervention: Surgical trea tment of complications, including mobile dislocated PC IOLs in five ey es and retinal detachment in three eyes, was performed. Main Outcome M easures: Visual acuity and anatomic status were evaluated, Results: Di slocated PC IOLs were removed through a pars plana incision in five ey es and a limbal incision in three eyes. Retinal detachments were repai red in three eyes. With follow-up from 7 months to 6.5 years, visual a cuities ranged from 20/25 to 20/40 in five eyes and 20/60 to 20/400 in the three eyes undergoing retinal detachment repair, Conclusion: Eyes in which dislocation of a PC IOL occurs during or after cataract surg ery may have significant complications develop. Successful surgical re pair is more complex in the presence of a secondary AC IOL.