Abstract:AIM: To discuss the efficacy of different surgical methods in treating traumatic lens dislocation.
METHODS:Totally 39 cases with traumatic lens dislocation who underwent surgery treatment were analyzed retrospectively from October 2011 to September 2012. According to different positions and degrees of the lens dislocation, different surgical managements were performed: intracapsular lens extraction, phacoemulsification, lens extraction through incision of orbiculus ciliaris. Meanwhile, the cases were associated with homologous operations according to different conditions, such as vitreo-retinal operations, anti-glaucoma operations.
RESULTS: All dislocated or subluxated lenses were removed completely, 32 eyes(82%)of postoperative visual acuity were improved, no significant complications were observed.
CONCLUSION: The surgical treatment method of traumatic lens dislocation should be chosen according to the location, the extent, and the presence of complications of the dislocated lens.Vitrectomy and lensectomy or lens extraction are the most efficient treatments for patients of lens dislocation. Reasonable choice of surgical approach or combined surgery is the key point of treating traumatic lens dislocation.
