Aetiology and Management of IOL Dislocations

Ramin Khoramnia; Isabella Diana Baur; Gerd U. Auffarth

doi:10.1055/a-2074-9028

Klinische Monatsblätter für Augenheilkunde, Table of Contents

Klin Monbl Augenheilkd 2023; 240(08): 971-980
DOI: 10.1055/a-2074-9028

Review/Übersicht

Ursachen und Management von IOL-Dislokationen

Article in several languages: English | deutsch

Authors

Ramin Khoramnia ‡

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland
Isabella Diana Baur ‡

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland
Gerd U. Auffarth

International Vision Correction Research Centre (IVCRC) und David J Apple International Laboratory for Ocular Pathology, Universitäts-Augenklinik Heidelberg, Deutschland

Abstract

Zusammenfassung

Die frühe (< 3 Monate) IOL-Dislokation tritt aufgrund einer unzureichenden Fixation im Kapselsack auf, während die späte Dislokation (≥ 3 Monate) durch eine zunehmende Insuffizienz des Zonulaapparates begründet ist. Aktuell werden zur Aphakiekorrektur bei IOL-Tausch vor allem Irisfixierte IOL (IFIOL) und mittels Naht oder nahtlos fixierte sklerafixierte IOL (SFIOL) eingesetzt. Es wurden verschiedene Methoden zur Sklerafixierung mit oder ohne Naht beschrieben. Die wichtigsten Techniken werden in dieser Arbeit zusammengefasst. IFIOL und SFIOL ermöglichen vergleichbare Visusergebnisse, unterscheiden sich aber in ihrem Risikoprofil. Die Entscheidung, welche Methode zum Einsatz kommt, hängt u. a. auch von den Gegebenheiten im jeweiligen Fall und der Präferenz des Operateurs ab.

Schlüsselwörter

IOL-Dislokation - Aphakiekorrektur - sklerafixierte IOL - irisfixierte IOL

Full Text

References

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