This month, Cathleen M. McCabe, MD, explains the intricacies of the belt loop technique she pioneered to avoid the need for IOL exchange in cases of dislocated in-the-bag IOLs.
Amar Agarwal, MS, FRCS, FRCOphth OSN Complications Consult Editor
Late in-the-bag IOL dislocations are a primary reason for exchanging an IOL. Precipitating factors for dislocation include pseudoexfoliation, prior eye surgery (pars plana vitrectomy), axial myopia, eye rubbing, trauma, capsular phimosis (retinitis pigmentosa), aging, uveitis, previous vitreoretinal surgery, diabetes, atopic dermatitis, previous acute