Acute interventions with intraocular lenses implantation.

Abstract

Complications associated with the intraocular lenses (IOL) implantation can be classified into 3 groups: intraoperative, early and late complications. Some of the complications have to be treated at once, otherwise the condition may deteriorate and lead to the occurrence of various secondary complications. One of the intraoperative complications during the IOL implantation can be the impairment of the corneal endothelium which occurs due to the inadequate size of the incision. A part of the IOL loop can remain incarcerated in the corneo-scleral wound during surgery. A strong choroidal hemorrhage may occur, as well as the shallowing of the anterior chamber. Iridodialysis may appear as a consequence of the implant manipulation. IOL can also be subluxated or luxated anteriorly or below the sclera. All of these complications should be promptly attended to. Early postoperative complications that should be treated as soon as possible are the occurrence of the pupillary block, shallow anterior chamber, secondary glaucoma, choroidal detachment, corneal edema and postoperative iritis. Besides the corneal edema, late postoperative complications include the formation of secondary cataract, the occurrence of cystoid macular edema and retinal detachment. The treatment of some of these complications can be delayed for a certain period, while other require the immediate treatment and correction. In this work the author presents his results, the complications encountered in different stages of the IOL implantation, and the immediate interventions that were carried out.