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Chapter-50 Posterior Dislocation of Lens

BOOK TITLE: Retina: Medical and Surgical Management

Author
1. Kumar Atul
2. Kumawat Devesh
3. Mutha Vineet
4. Hasan Nasiq
ISBN
9789352702947
DOI
10.5005/jp/books/18054_51
Edition
1/e
Publishing Year
2018
Pages
7
Author Affiliations
1. Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India, Women’s Health Center; Anil Nursing Home, Jaipur, Rajasthan, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Jaipur, Rajasthan, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Anil Hospital, Jaipur, India, All India Institute of Medical Sciences New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Dr. RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
2. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, Ind, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India, All India Institute of Medical Sciences, New Delhi, India
3. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
4. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
Posterior migration, posterior dislocation, incision cataract surgery, extracapsular cataract extraction, traumatic dislocation, sphincter tears, vitreous hemorrhage, intraocular lens, IOL

Abstract

The incidence of posterior migration of nuclear or cortical matter during cataract surgery is around 0.1–0.3%, the odds being almost similar with phacoemulsification, small incision cataract surgery, and extracapsular cataract extraction. Traumatic dislocation usually follows a closed globe injury, though post open globe injury has also been described. Tell-tale signs are its association with other signs of blunt injury such as traumatic mydriasis with sphincter tears, vitreous hemorrhage, commotio retinae, retinal dialysis, angle recession, and choroidal ruptures. Displacement of intraocular lens (IOL) from its normal location (in the capsular bag) may occur, varying from decentration to dislocation into the vitreous cavity. Intraoperative dislocation occurs if IOL is inserted in the presence of large posterior capsular defect or IOL haptic gets misplaced.

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