Get the Things Right: Correction of IOL Subluxation

蔡翔翎 醫師Taiwan Speaker Get the Things Right: Correction of IOL SubluxationDislocation of an intraocular lens (IOL) is an uncommon (0.2–3%) yet potentially serious complication, in which the IOL deviates from its normal anatomical position. It may arise from complicated cataract surgery, ocular trauma, previous vitreoretinal surgery, high myopia, or systemic or ocular conditions associated with zonular weakness. While mild cases may be observed initially, surgical intervention is usually required when significant visual symptoms occur. Various surgical techniques can be employed depending on the surgeon’s experience and the clinical scenario. In this presentation, I will demonstrate two approaches: the “twist-and-out” IOL removal and the “Yamane technique” for secondary IOL fixation. The advantages, limitations, and practical considerations of these techniques will also be discussed.