Surgical Management of Subluxed Posterior-Chamber Intraocular Lenses

Robert W. Panton, Michael E. Sulewski, John S. Parker, Peter J. Panton, Walter Jackson Stark

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


To formulate a systematic approach to the surgical management of subluxed posterior-chamber intraocular lenses (IOLs). We reviewed the records of 31 consecutive patients who underwent anterior-segment surgery for IOL subluxation. Presumed anatomic causes of IOL subluxation were identified in 28 cases (90%). Three surgical procedures were used to correct the implant subluxation: modified McCannel sutures (19 eyes), IOL exchange (eight eyes), or IOL rotation (four eyes). Twenty-nine (94%) of the 31 patients obtained a postoperative visual acuity of 20/40 or better. Surgical complications included persistent vitreous in the anterior chamber (three cases), progressive capsular opacification (two cases), and anterior chamber and vitreous hemorrhage (one case). Our results show that, by implementing a planned surgical approach, subluxed posterior-chamber IOLs can be safely and effectively managed.

Original languageEnglish (US)
Pages (from-to)919-926
Number of pages8
JournalArchives of ophthalmology
Issue number7
StatePublished - Jul 1993

ASJC Scopus subject areas

  • Ophthalmology


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