Luxación tardía espontánea del complejo saco-lente intraocularformas de presentación, tratamiento quirúrgico y análisis comparativo en ojos con y sin anillo de tensión capsular

Abstract

The main objective of this PhD is to evaluate the presentation characteristics and surgical outcomes of late in the bag IOL dislocation and to compare the cases with and without capsular tension ring in the capsular bag. It is a retrospective (2005-2014) interventional case series including cases of late spontaneous in-the-bag IOL dislocation from two referral centers (Complexo Hospitalario Universitario Ourense, Complexo Hospitalario Universitario A Coruña).. The main outcome measures were 1 ) at the time of presentation: interval between surgery and dislocation, dislocation site/grade, type of IOL, associated CTR and predisposing factors, 2) referred to the surgical technique used to correct dislocation (repositioning using scleral fixation (SFIOL), iris suturing, IOL exchange for anterior chamber IOL (ACIOL), or iris–claw IOL (ICIOL), IOL removal and anterior capsulotomy), preoperative/postoperative corrected distance visual acuity (CDVA), and surgical complications. And 3) we evaluated the intraocular pressure changes after surgical correction of IOL-dislocation in the whole group and in separate groups according to the technique used to correct IOL position.