ESCRS - PO119 - Spontaneous Dislocation Of Intraocular Lenses In Eyes With Dead Bag Syndrome

Spontaneous Dislocation Of Intraocular Lenses In Eyes With Dead Bag Syndrome

Published 2022 - 40th Congress of the ESCRS

Reference: PO119 | Type: Free paper | DOI: 10.82333/rc0n-vm83

Authors: Ehud Assia* 1 , veronika Yehezkeli 2

1Ein Tal Eye Center,Tel Aviv - Yafo,Israel;Ophthalmology,Meir Medical Center,Kfar-Saba,Israel, 2Ophthalmology,Meir Medical Center,Kfar-Saba,Israel

Purpose

To report and analyze cases of spontaneous dislocation of posterior chamber intraocular lenses (PC-IOLs) many years after implantation in the intact bag

Setting

Meir Medical Center and Ein-Tal Eye Center

Methods

Six patients were presented with dislocation of PC-IOLs secondary to non-traumatic rupture of the posterior capsule, and one case following minor trauma, 15-20 years after implantation. The posterior capsules were documented as intact throughout follow up. All the capsules were clear with no evidence of cell proliferation, capsular fibrosis, or adhesions. 

Results

All 7 cases were successfully treated by repositioning of the original lens by scleral fixations, iris fixation or sulcus positioning. The lenses were stable and central and effective vision was restored.

Conclusions

: "Dead Bag Syndrome" was recently described, characterized by clear and fragile posterior lens capsule many after lens removal.  Epithelial cells are absent or scarce leading to spontaneous rupture of the capsule and IOL dislocation. With increasing life span, early surgery and longer pseudophakic time the rate of this complication is expected to increase.