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

Full 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.

Author information

Author/s: Hoffman, Richard S (RS); Fine, I Howard (IH); Packer, Mark (M);

Affiliation: rshoffman(-atsign-)finemd.com

Journal and publication information

Publication Type: Case Reports; Journal Article

Journal: Journal of cataract and refractive surgery (J Cataract Refract Surg), published in United States. (Language: eng)

Reference: 2009-Oct; vol 35 (issue 10) : pp 1821-5

Dates: Created 2009/09/28; Completed 2009/10/30;

PMID: 19781480, status: MEDLINE (last retrieval date: 10/30/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.