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Spontaneous dislocation of the posterior chamber intraocular lens

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Abstract

Aim

To evaluate the possible risk factors for posterior chamber intraocular lens dislocation either in-the-bag (ITB) dislocation or out-of-the-bag (OOTB) dislocation.

Methods

All subjects who sustained late intraocular lens dislocation from January 2011 until May 2014 and presented to the Nagasaki University Hospital were included in the study. This study is a retrospective evaluation of all cases of posterior chamber intraocular lens dislocation in this defined period. All cases had history of uncomplicated cataract surgery with implantation of posterior chamber intraocular lens. Patients with history of trauma (before cataract surgery) were excluded from the study. The main outcome measures of the study were evaluation of risk factors for dislocation of both groups and determination of the interval between cataract surgery and dislocation.

Results

Thirty-six eyes (69.23%) suffered ITB dislocation, and 16 eyes (30.77%) suffered OOTB dislocation. Intraocular lens dislocation was common in males (42 eyes = 80.77%) than females (10 eyes = 19.23%). Patients of ITB dislocation group were significantly older than OOTB dislocation group at the time of initial intraocular lens implantation and at the time of exchange surgery.

Conclusion

The most prevalent risk factors in both groups were axial myopia in 18 eyes (34.61%), vitreoretinal surgery in 16 eyes (30.77%), and pseudoexfoliation in 13 eyes (25%) in all cases.

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Authors and Affiliations

  1. Department of Ophthalmology and Visual Sciences, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki, Nagasaki, 852-8501, Japan

    Azusa Fujikawa, Yasser Helmy Mohamed, Hirofumi Kinoshita, Eiko Tsuiki & Takashi Kitaoka

  2. Department of Ophthalmology, EL-Minia University Hospital, EL-Minia, Egypt

    Yasser Helmy Mohamed

Authors
  1. Azusa Fujikawa
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  2. Yasser Helmy Mohamed
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  3. Hirofumi Kinoshita
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  4. Eiko Tsuiki
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  5. Takashi Kitaoka
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Corresponding author

Correspondence to Yasser Helmy Mohamed.

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Conflict of interest

We wish to confirm that there are no known conflicts of interest associated with this publication, and there has been no significant financial support for this work that could have influenced its outcome.

Ethical approval

All procedures performed in study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Fujikawa, A., Mohamed, Y.H., Kinoshita, H. et al. Spontaneous dislocation of the posterior chamber intraocular lens. Int Ophthalmol 38, 1111–1117 (2018). https://doi.org/10.1007/s10792-017-0567-6

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  • DOI: https://doi.org/10.1007/s10792-017-0567-6

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