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Displaced plate-haptic lens can be repositioned in sulcus

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A dislocated plate haptic IOL can be safely and effectively managed by repositioning it in the ciliary sulcus with good long-term results, a retrospective study found.

Nathan J. Rudometkin, MD, and colleagues reviewed data from 15 eyes with dislocated plate haptic lenses that had been repositioned in the ciliary sulcus. Pars plana vitrectomy was required in 12 of the 15 cases. Main outcome measures included initial and final best corrected visual acuity and length of follow-up.

All lenses were centered for an average of 48.7 months with no recurrent dislocation, cystoid macular edema, chronic iritis or iris chaffing. Initial BCVA of 20/40 or better was attained in 14 eyes (93.3%), and final BCVA of 20/40 or better was achieved in 10 eyes. The decline in final BCVA was attributed to other ocular diseases not related to the repositioning.

The study is published in the American Journal of Ophthalmology.