RESUMO
PURPOSE: To report and compare the surgical, visual, and anatomical outcomes following treatment of dislocated intraocular lenses (IOLs). METHODS: The medical records of 28 eyes of 28 patients were evaluated. Age, gender, pre-and postoperative best-corrected visual acuity (BCVA), surgical methods, and complications were recorded. RESULTS: Pre-and postoperative BCVA ranged from counting fingers to 20/32 and from counting fingers to 20/25, respectively. Late-onset dislocations were the most frequently observed complication. The most frequent surgical method was IOL repositioning in 15 of 28 patients, followed by IOL exchange in 11 patients, and IOL removal in 2 patients. Only 1 patient required surgical re-intervention with IOL capture. CONCLUSIONS: Visual acuity improved following the use of either IOL repositioning or IOL exchange. No superiority of one method over the other was observed. In the present retrospective case series, management of dislocated IOLs with repositioning or exchange of the primary implant conferred comparable surgical and visual outcomes.
Assuntos
Migração do Implante de Lente Intraocular/cirurgia , Implante de Lente Intraocular/métodos , Lentes Intraoculares/efeitos adversos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Migração do Implante de Lente Intraocular/fisiopatologia , Criança , Feminino , Humanos , Implante de Lente Intraocular/efeitos adversos , Masculino , Prontuários Médicos , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Esclera/cirurgia , Fatores de Tempo , Resultado do Tratamento , Acuidade Visual , Vitrectomia/métodos , Corpo Vítreo/cirurgia , Adulto JovemRESUMO
ABSTRACTPurpose:To report and compare the surgical, visual, and anatomical outcomes following treatment of dislocated intraocular lenses (IOLs).Methods:The medical records of 28 eyes of 28 patients were evaluated. Age, gender, pre-and postoperative best-corrected visual acuity (BCVA), surgical methods, and complications were recorded.Results:Pre-and postoperative BCVA ranged from counting fingers to 20/32 and from counting fingers to 20/25, respectively. Late-onset dislocations were the most frequently observed complication. The most frequent surgical method was IOL repositioning in 15 of 28 patients, followed by IOL exchange in 11 patients, and IOL removal in 2 patients. Only 1 patient required surgical re-intervention with IOL capture.Conclusions:Visual acuity improved following the use of either IOL repositioning or IOL exchange. No superiority of one method over the other was observed. In the present retrospective case series, management of dislocated IOLs with repositioning or exchange of the primary implant conferred comparable surgical and visual outcomes.
RESUMOObjetivo:Relatar e comparar as abordagens cirúrgicas e os resultados visuais e anatômicos no tratamento de lentes intraoculares (IOL) deslocadas.Métodos:Foram avaliados os registros médicos de 28 olhos de 28 pacientes. Idade, sexo, melhor acuidade visual corrigida pré e pós-operatória, abordagens cirúrgicas e complicações foram registrados.Resultados:Melhor acuidade visual corrigida pré e pós-operatória variou de conta dedos a 20/32 e de conta dedos a 20/25, respectivamente. Os deslocamentos tardios foram os mais frequentemente encontrados. A cirurgia mais frequente foi o reposicionamento da IOL em 15 dos 28 pacientes, em seguida, o troca da IOL em 11 pacientes, e a remoção da IOL em dois pacientes. Apenas um caso de necessitou de reintervenção devido à captura da IOL.Conclusões:A acuidade visual melhorou em ambas as abordagens, reposicionamento e troca de IOL. Não houve superioridade de um método sobre o outro. Na presente série de casos retrospectiva, o tratamento do deslocamento de IOL com reposição ou troca do implante primário gerou resultados cirúrgicos e visuais comparáveis.
Assuntos
Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Migração do Implante de Lente Intraocular/cirurgia , Implante de Lente Intraocular/métodos , Lentes Intraoculares/efeitos adversos , Migração do Implante de Lente Intraocular/fisiopatologia , Implante de Lente Intraocular/efeitos adversos , Prontuários Médicos , Complicações Pós-Operatórias/etiologia , Estudos Retrospectivos , Esclera/cirurgia , Fatores de Tempo , Resultado do Tratamento , Acuidade Visual , Vitrectomia/métodos , Corpo Vítreo/cirurgiaRESUMO
A 39-year-old woman with a history of high myopia underwent uneventful implantation of phakic posterior chamber implantable collamer lenses (ICLs) 6 years earlier in both eyes with a visual acuity of 20/20 bilaterally. The patient presented as an emergency with sudden decreased vision in her right eye after blunt trauma. Slit-lamp examination showed a partially dislocated ICL in the anterior chamber, associated with ocular hypertension. It was decided to treat her with topical ocular hypotensive agents and surgical repositioning of the ICL. There was a progressive loss of endothelial cells and decreased visual acuity. Descemet stripping automated endothelial keratoplasty was needed to correct the endothelial failure. This case presents a potential complication of the ICL several years after implantation, and should be considered in these types of procedures.