Repositioning of the dislocated intraocular lens with sutureless 20-gauge vitrectomy.

摘要

Dislocation of an intraocular lens (IOL) into the vitreous can occur as an early or late complication arising from posterior capsular rupture during phaco-emulsification.1'2 Management of such a situation with available instruments without compromising the visual outcome remains a challenge. Traditionally, dislocated IOLs have been managed either by repositioning the same or a different IOL with sutured scleral fixation3"8 or replacing the lens with an anterior chamber IOL.910 It is routinely combined with a conventional pars plana vitrectomy.9-13 In this article, we describe a new technique of sutureless vitrectomy using 20-gauge vitrectomy instrumentation and repositioning the dislocated IOL in the posterior chamber with transscleral fixation of haptics, intralamellar scleral tuck, and fibrin glue-assisted flap closure. This is an extension of the recent technique of IOL implantation in eyes with deficient posterior capsules (glued IOL).