Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature
Joint Authors
Ascaso, Francisco J.
Huerva, Valentín
Grzybowski, Andrzej
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Posterior chamber intraocular lens (PC-IOL) subluxation is uncommon but represents one of the most serious complications following phacoemulsification.
Late spontaneous IOL-capsular bag complex dislocation is defined as occurring three months or later following cataract surgery.
Unlike early IOL dislocation, late spontaneous IOL dislocation is due to a progressive zonular dehiscence and contraction of the capsular bag many years what seemed to be uneventful surgery.
In recent years, late in-the-bag IOL subluxation or dislocation has been reported with increasing frequency, having a cumulative risk of IOL dislocation following cataract extraction of 0.1% after 10 years and 1.7% after 25 years.
A predisposition to zonular insufficiency and capsular contraction is identified in 90% of reviewed cases.
Multiple conditions likely play a role in contributing to this zonular weakness and capsular contraction.
Pseudoexfoliation is the most common risk factor, accounting for more than 50% of cases.
Other associated conditions predisposing to zonular dehiscence are aging, high myopia, uveitis, trauma, previous vitreoretinal surgery, retinitis pigmentosa, diabetes mellitus, atopic dermatitis, previous acute angle-closure glaucoma attack, and connective tissue disorders.
The recognition of these predisposing factors suggests a modified approach in cases at risk.
We review certain measures to prevent IOL-bag complex luxation that have been proposed.
American Psychological Association (APA)
Ascaso, Francisco J.& Huerva, Valentín& Grzybowski, Andrzej. 2015. Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature. Journal of Ophthalmology،Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1069844
Modern Language Association (MLA)
Ascaso, Francisco J.…[et al.]. Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature. Journal of Ophthalmology No. 2015 (2015), pp.1-7.
https://search.emarefa.net/detail/BIM-1069844
American Medical Association (AMA)
Ascaso, Francisco J.& Huerva, Valentín& Grzybowski, Andrzej. Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature. Journal of Ophthalmology. 2015. Vol. 2015, no. 2015, pp.1-7.
https://search.emarefa.net/detail/BIM-1069844
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1069844