Vitreoretinal Surgery for Intraocular Lens Dislocated into the Vitreous Cavity

Objectives: To investigate the sex, age, accompanying eye examination findings, and the outcomes of vitreoretinal surgery (VRS) for\udintraocular lens (IOL) dislocated into the vitreous cavity.\udMaterials and Methods: The medical records of 30 patients who underwent VRS for IOL dislocation into the vitreous cavity were\udretrospectively analyzed in this study. Preoperative and postoperative visual acuity, intraocular pressure, biomicroscopic, and posterior\udsegment examination findings were assessed.\udResults: The average age of the patients was 63.1 (range: 38-83) years. Twenty-one patients were male (70%) and 9 patients were female\ud(30%). As etiologic causes, 18 cases (60%) had late spontaneous dislocation, 5 cases (16.6%) had dislocation after phacoemulsification\udsurgery, 4 cases (13.3%) had trauma, 2 cases (6.6%) had previously undergone vitrectomy, and 1 case (3.3%) had undergone YAG\udlaser capsulotomy. VRS including 23-gauge triamcinolone-assisted pars plana vitrectomy, intraocular lens extraction, posterior hyaloid\udmembrane removing, endolaser photocoagulation, and fluid-air exchange was performed. Posterior chamber IOL implantation on to\udthe anterior capsule in 13 cases (43.3%), anterior chamber IOL implantation in 10 cases (33.3%), and scleral fixated posterior IOL\udimplantation in 4 cases (13.3%) were performed. The corrected visual acuity recorded at the last follow-up was better than the first visit\udin 23 cases (76.6%), the same in 5 eyes (16.6%), and worse in 2 eyes (6.6%).\udConclusion: VRS combined IOL implantation is a successful surgery method for IOL dislocated into the vitreous cavity and can avoid\udpoor visual outcomes. (Turk J Ophthalmol 2015; 45: 56-9