Glaucoma Severity May Predict Late Spontaneous IOL Dislocation
From the American Academy of Ophthalmology
This retrospective, matched case-control study included 71 patients with pseudoexfoliation syndrome who had undergone uneventful cataract surgery with an in-the-bag IOL and later experienced IOL dislocation. Indicators of glaucoma severity were compared between fellow eyes as well as before and after IOL exchange or repositioning in the affected eyes. The authors found that IOL dislocation was more likely to occur in eyes with glaucoma (P< 0.0001), particularly in those with severe disease (P< 0.0001). Affected eyes also had worse mean CDVA and higher mean IOP, and were treated with a greater mean number of glaucoma medications. Ophthalmology, March 2015