Management of Posteriorly Dislocated Intraocular Lens in a Vitrectomized Eye Without Conjunctival Incision: A Novel Surgical Technique

Saleh A. Al Amro, MD, FRCS, FRCOphth

From the Department of Ophthalmology, College of Medicine, King Saud University, Saudi Arabia

Background: Management of posterior chamber intraocular lenses (PCIOL) dislocated into the vitreous cavity classically involves pars plana surgical approach.

Aim: To describe a new surgical technique to manage posteriorly dislocated PCIOL in a vitrectomized eye without vitrectomy surgery.

Methods: Case Report.

Results: A simple technique, requiring the performance of neither pars plana surgery nor a conjunctival incision, is described for managing a posteriorly dislocated PCIOL in vitrectomized eyes. This technique utilizes the prone (face-down) position intraoperatively to bring the PCIOL into the anterior chamber, which can then be managed accordingly.

Conclusions: This technique is simple, safe, and can be done by anterior segment surgeons to manage posteriorly dislocated PCIOL in vitrectomezed eyes.

Keywords: Dislocated intraocular lens, Vitrectomy, Prone position.