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There are different ways to deal with luxated or subluxated intraocular lens (IOL) or crystalline lens and we argue that the use of pars plana vitrectomy (PPV) combined with anterior chamber IOL implant (Artisan ®¸ 6 mm) is the best way to deal with these cases based on our results.

We did a retrospective study of 26 consecutive cases managed by PPV (together with posterior phacofragmentation in cases of luxated crystalline lens) with anterior chamber IOL implantation, operated by the same surgeon between January 2007 and January 2014. All patients had luxated or subluxated IOL or crystalline lens. In all the cases, BCVA, refraction and keratometry were evaluated before surgery and at the last follow up visit. In total, 26 eyes were operated, 14 in men and 10 in women with 2 patients having bilateral surgery. Mean age (+/-SD) of the patients was 75,96 (+/-11.83) years. In our series,16 eyes had luxated IOL and 10 had luxated crystalline lens. Mean BCVA improved, from 0.25 (+/-0.26) decimal equivalent to 0.46(+/-0.26) and this was statistically significant (p<0,001). Mean Keratometry measures (Kmax-Kmin) changed, from 1.54 (+/-1.11) diopters to 1.75 (+/-1.53), however, this was not found to be statistically significant (p=0.47).

There are a few techniques to deal with subluxated IOL or crystalline lens, but this is probably the simplest and most reliable technique in our view. While some surgeons opt for unconventionaland perhaps innovative techniques to mange these cases we wonder if this is really necessary? As for our results, while there is an increase in corneal astigmatism, this was not statistically significant, and we would argue that the final refractive results achieved are in fact more predictable compared to other described techniques.