PUBLICATION EXCLUSIVE: Multiple surgical options available to correct dislocated IOLs

Cataract surgery has an amazing success rate, and it is anticipated that less than 1% of IOLs will become dislocated after routine phacoemulsification. Certain pre-existing conditions such as pseudoexfoliation syndrome, Marfan syndrome and traumatic zonular loss can predispose patients to late dislocation of the IOL even in the setting of a technically perfect original cataract surgery. In those cases in which the IOL is subluxed and visual acuity is compromised, there are multiple approaches to rectify the situation and restore vision to our patients.The operative report from the original cataract surgery can be helpful to ascertain if there were surprise findings or complications. Determine if the IOL was placed in the capsular bag or perhaps it was in the ciliary sulcus. Loose zonules may have been noted during the original procedure. Was the case uneventful or was there a posterior capsule rupture? Finally, note which type of IOL was placed and its dioptric power.