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Intra Ocular Slippage
An_254535 posted:
I had a cateract removed in my right eye in 2003 and the natural lens was replaced with a intra ocular lens implant. Since then I've had two retinal detachments and had a scleral buckle holding it together. Most recently I woke up and have almost total vision loss in my right eye and after several tests I am being told that my intra ocular lens slipped and I need surgery within a week. Did the doctor that did the cateract surgery position it incorrectly or is this something that can happen to anyone who had cateract surgery? I'm really nervous about having to go under the knife again especially when I was in a local and could feel everything being done. Please provide any information you can to reassure me.
Alan M Kozarsky, MD responded:
It is not that uncommon for a cataract replacement implant (IOL) to become displaced following retinal re-attachment surgery. When an implant is no longer in good central position, vision is impaired.

The implant position can usually be fixed by moving the implant back into perfect position and securing it with stitches. Sometimes the implant needs to be replaced.

Implants can "slip" in the absence of an fault from the original cataract surgeon, especially after retinal surgery.

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