Analysis of Delayed Dislocation of IoL: Cause And Effect
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Aim: To analyse risk factors associated with delayed dislocation of IOLs. Methods: Hospital based prospective intervention study during 1997-2012.All cases of IOLs dislocated after 6 months were included. Investigations included B scan and MRI was done in cases with h/o trauma. Multivariate analysis to detect risk factors was done Results: Total 25 cases of delayed dislocation out of 12000 pseudophakic. Mean age: 63.2 years, with M: F-5:1. Mean interval: 6.5 years.12 Iris claw lenses dislocated in AC, easily fixated with good visual outcome,3 cases of PCIOL with IOFB detected on MRI,5 cases of trauma with perfect capsulorrhexis, 2 cases of pseudo exfoliation ,2 cases had longer axial length(>26mm).All cases had significant visual loss. Multivariate analysis confirmed occult IOFB, trauma, iris fixation, long axial length as risk factors. Conclusion: Undetected IOFB, iris atrophy and larger eyeball may predispose to delayed dislocation of IOL
Authors and Affiliations
Dr. Sanjoy Chowdhury, Dr. Priyanka, Drnilanjan chowdhury
Keywords
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