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Dokuz Eylül Üniv. Tıp Fak. Göz AD. 18 dislocated intraocular lenses (IOL) managed by pars plana vitrectomy (PPV) and IOL reimplantation by "open-eye" or "closed-eye" technics are presented. The mean age of the cases was 62 (range 5-76). Preoperative visual acuities were between hand motion and 6/10. 17 of 18 cases had posterior chamber IOL and only one of them had anterior chamber IOL. The average interval from implantation to dislocation was .11.4 days (1-63 days).
IOL explantation was performed in 14 cases. Anterior chamber IOL was implanted in 9 and transsclerally sutured IOL implantation was performed in 5 cases. Dislocated IOLs were sutured to siliary sulcus without cornea-limbal incision (Closed-eye system) in 4 cases.
Final visual acuities were equal or better in 15 (%83) after an average of 10.4 months (3-23) follow-up time. No sight threatening complication occured except cystoid macular edema in 2 cases and extensive fibrinous reaction in 1 case.
Explantation of dislocated IOL by PPV and reimplantation of anterior or transsclerally sutured posterior chamber IOL is safe and effective procedure. Suturing the dislocated IOL to siliary sulcus with closed-eye system is and encouraging technic providing the cornea and iris untouched. Keywords : Intraocular Lens Dislocation, Pars Plana Vitrectomy, Scleral Fixation