August 01, 2013
1 min read

Surgery for IOL dislocation in patients with pseudoexfoliation yields minimal complications

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Patients with pseudoexfoliation who underwent surgery for IOL dislocation could have better visual outcomes and minimal complications, according to a study.

Investigators included 81 eyes of 76 patients in the retrospective case study. Sixty-four eyes (79%) had received an IOL exchange, and IOL repositioning was performed in 17 eyes (21%).

The corrected distance visual acuity improved for all eyes, from a mean of  0.78 logMAR ± 0.50 preoperatively to a mean of 0.35 ± 0.31 logMAR at follow-up (P < .0001). IOP was reduced by 4.2 mm Hg at follow-up (P < .0001), although there was no significant difference in mean IOP between eyes that underwent IOL exchange and those that underwent IOL repositioning, according to the authors.

No significant complications occurred intraoperatively. Postoperative complications that occurred most frequently were a decrease in IOP to 5 mm Hg or lower, or an increase to 30 mm Hg or higher.

The glaucoma medication requirement remained stable in comparison to preoperative levels (P > .05)

Disclosure: The study authors report no relevant financial disclosures.