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dc.contributor.authorAscaso, Francisco J.
dc.contributor.authorHuerva, Valentín
dc.contributor.authorGrzybowski, Andrzej
dc.identifier.issn2090-004X (Print)
dc.identifier.issn2090-0058 (Online)
dc.description.abstractPosterior chamber intraocular lens (PC-IOL) subluxation is uncommon but represents one of the most serious complications following phacoemulsification. Late spontaneous IOL-capsular bag complex dislocation is defined as occurring three months or later following cataract surgery. Unlike early IOL dislocation, late spontaneous IOL dislocation is due to a progressive zonular dehiscence and contraction of the capsular bag many years what seemed to be uneventful surgery. In recent years, late in-the-bag IOL subluxation or dislocation has been reported with increasing frequency, having a cumulative risk of IOL dislocation following cataract extraction of 0.1% after 10 years and 1.7% after 25 years. A predisposition to zonular insufficiency and capsular contraction is identified in 90% of reviewed cases. Multiple conditions likely play a role in contributing to this zonular weakness and capsular contraction. Pseudoexfoliation is the most common risk factor, accounting for more than 50% of cases. Other associated conditions predisposing to zonular dehiscence are aging, high myopia, uveitis, trauma, previous vitreoretinal surgery, retinitis pigmentosa, diabetes mellitus, atopic dermatitis, previous acute angle-closure glaucoma attack, and connective tissue disorders. The recognition of these predisposing factors suggests a modified approach in cases at risk. We review certain measures to prevent IOL-bag complex luxation that have been proposed.ca_ES
dc.publisherHindawi Publishing Corporationca_ES
dc.relation.isformatofReproducció del document publicat a
dc.relation.ispartofJournal of Ophthalmology, 2015, vol. 2015, ID 805706
dc.rightscc-by (c) Ascaso et al., 2015ca_ES
dc.subject.otherUlls -- Malaltiesca_ES
dc.titleEpidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literatureca_ES

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