Pars plana vitrectomy and iris suture fixation of posteriorly dislocated intraocular lenses.

Purpose To describe the outcomes of combined pars plana vitrectomy (PPV) and iris suture fixation of posteriorly dislocated intraocular lenses (IOLs). Setting Tertiary academic referral center. Design Retrospective noncomparative consecutive case series. Methods The included eyes had posteriorly dislocated IOLs and had combined PPV and iris suture fixation. The IOL dislocations amenable to surgical repair with an anterior approach were excluded. Outcome measures included improvement in corrected distance visual acuity (CDVA), induction of astigmatism, and complications. Results This study consisted of 27 consecutive cases. The mean follow-up was 6.61 months ± 8.1 (SD). The median postoperative CDVA was 20/30, and 16 of 27 eyes had stable or improved CDVA compared with baseline; 8 of the others had a shift from aphakic to pseudophakic correction. Overall, a significant myopic shift in spherical equivalent occurred after surgery, from 7.62 ± 4.38 diopters (D) to −1.33 ± 1.45 D ( P P Conclusion Combined PPV and iris suture fixation of posteriorly dislocated IOLs led to stable fixation of the IOLs. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.