Lens dislocation has a possible relationship with laser iridotomy

Tetsuya Mutoh,1,2 Kevin F Barrette,2 Yukihiro Matsumoto,1 Makoto Chikuda11Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya City, Saitama, Japan; 2Department of Ophthalmology, Boston University School of Medicine, Boston, MA, USAAbstract: We report our recent exper...

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Autores principales: Mutoh T, Barrette KF, Matsumoto Y, Chikuda M
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Lenguaje:EN
Publicado: Dove Medical Press 2012
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spelling oai:doaj.org-article:221c03e70ccf4b0f976ecab89ff3dfc52021-12-02T03:23:46ZLens dislocation has a possible relationship with laser iridotomy1177-54671177-5483https://doaj.org/article/221c03e70ccf4b0f976ecab89ff3dfc52012-12-01T00:00:00Zhttp://www.dovepress.com/lens-dislocation-has-a-possible-relationship-with-laser-iridotomy-a11679https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tetsuya Mutoh,1,2 Kevin F Barrette,2 Yukihiro Matsumoto,1 Makoto Chikuda11Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya City, Saitama, Japan; 2Department of Ophthalmology, Boston University School of Medicine, Boston, MA, USAAbstract: We report our recent experience of four eyes with spontaneous lens dislocation in four patients with no history of trauma or any systemic disease associated with zonular dialysis. Lens dislocation developed with 0.5 to 6 months following laser iridotomy. All patients were male and two eyes were complicated with acute primary angle closure glaucoma preoperatively. Case 1 showed bilateral lens dislocation, while cases 2 and 3 involved unilateral lens dislocation. Cases 2 and 3 showed lenses completely dislocated into the vitreous cavity. All cases needed lens removal and scleral fixation of intraocular lenses. Final visual acuity was 1.2 in all cases. We suspect that laser iridotomy may induce localized zonular dialysis that results in progressive zonular weakness, leading to lens dislocation.Keywords: lens dislocation, laser iridotomy, primary angle closure glaucomaMutoh TBarrette KFMatsumoto YChikuda MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 2019-2022 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Mutoh T
Barrette KF
Matsumoto Y
Chikuda M
Lens dislocation has a possible relationship with laser iridotomy
description Tetsuya Mutoh,1,2 Kevin F Barrette,2 Yukihiro Matsumoto,1 Makoto Chikuda11Department of Ophthalmology, Dokkyo Medical University Koshigaya Hospital, Koshigaya City, Saitama, Japan; 2Department of Ophthalmology, Boston University School of Medicine, Boston, MA, USAAbstract: We report our recent experience of four eyes with spontaneous lens dislocation in four patients with no history of trauma or any systemic disease associated with zonular dialysis. Lens dislocation developed with 0.5 to 6 months following laser iridotomy. All patients were male and two eyes were complicated with acute primary angle closure glaucoma preoperatively. Case 1 showed bilateral lens dislocation, while cases 2 and 3 involved unilateral lens dislocation. Cases 2 and 3 showed lenses completely dislocated into the vitreous cavity. All cases needed lens removal and scleral fixation of intraocular lenses. Final visual acuity was 1.2 in all cases. We suspect that laser iridotomy may induce localized zonular dialysis that results in progressive zonular weakness, leading to lens dislocation.Keywords: lens dislocation, laser iridotomy, primary angle closure glaucoma
format article
author Mutoh T
Barrette KF
Matsumoto Y
Chikuda M
author_facet Mutoh T
Barrette KF
Matsumoto Y
Chikuda M
author_sort Mutoh T
title Lens dislocation has a possible relationship with laser iridotomy
title_short Lens dislocation has a possible relationship with laser iridotomy
title_full Lens dislocation has a possible relationship with laser iridotomy
title_fullStr Lens dislocation has a possible relationship with laser iridotomy
title_full_unstemmed Lens dislocation has a possible relationship with laser iridotomy
title_sort lens dislocation has a possible relationship with laser iridotomy
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/221c03e70ccf4b0f976ecab89ff3dfc5
work_keys_str_mv AT mutoht lensdislocationhasapossiblerelationshipwithlaseriridotomy
AT barrettekf lensdislocationhasapossiblerelationshipwithlaseriridotomy
AT matsumotoy lensdislocationhasapossiblerelationshipwithlaseriridotomy
AT chikudam lensdislocationhasapossiblerelationshipwithlaseriridotomy
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