Ursachen und Management von IOL-Dislokationen

Ramin Khoramnia; Isabella Diana Baur; Gerd U. Auffarth

doi:10.1055/a-2074-9028

Klinische Monatsblätter für Augenheilkunde, Table of Contents

Klin Monbl Augenheilkd 2023; 240(08): 971-980
DOI: 10.1055/a-2074-9028

Übersicht/Review

Aetiology and Management of IOL Dislocations

Article in several languages: deutsch | English

Ramin Khoramnia ‡

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

,

Isabella Diana Baur ‡

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

,

Gerd U. Auffarth

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

› Author Affiliations

Abstract

Early (< 3 months) intraocular lens (IOL) dislocation occurs due to insufficient fixation in the capsular bag, while late dislocation (≥ 3 months) is due to increasing insufficiency of the zonular apparatus. Iris-fixated IOL (IFIOL) and suture- or sutureless-fixated scleral IOL (SFIOL) are currently the most commonly used methods when IOL exchange is indicated. Different methods of scleral fixation with or without sutures have been described. The most important techniques are summarised in this paper. IFIOL and SFIOL allow comparable visual outcomes but differ in their risk profile. The decision of which method to use should be made case by case and in accordance with the surgeonʼs preference.

Key words

IOL dislocation - aphakia correction - scleral fixation - iris claw IOL

Full Text

References

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