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- W4230256706 abstract "I enjoyed the article on bipseudophakia1 and have long been an admirer of Dr. David Apple for the many advances in our knowledge of the histopathology of numerous ophthalmic conditions that he and his group have brought forth. I write to caution that the single case described in the article does not make a convincing argument for advocating the routine removal of intraocular lenses (IOLs) that have dislocated into the posterior segment. The patient in question had several other problems (massive retention of lens material, glaucoma) that may well have been the cause of the unhappy outcome. The authors state that long-term observation shows that dislocated IOLs can remain in the vitrcous for prolonged periods without serious complications. This has been my experience as I have had the opportunity to observe several patients who had bipseudophakia without sequelae for longer than 5 years. In all these patients, the dislocated anterior or posterior chamber IOL had taken up residence in the inferior peripheral vitrcous, with only small amounts of motion visible as the patient changed from an erect to a supine position. It is my suspicion that IOLs that behave in this manner are unlikely to cause the types of problems described in the article; in my experience, they have caused no problems. I would like to emphasize that this may not be the case with the IOL that is freely mobile; for example, in an eye that has had a complete vitrectomy. Richard J. Mackool MD aAstoria, New York, USA" @default.
- W4230256706 created "2022-05-11" @default.
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- W4230256706 date "2003-01-01" @default.
- W4230256706 modified "2023-09-27" @default.
- W4230256706 title "Bipseudophakia" @default.
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- W4230256706 doi "https://doi.org/10.1016/s0886-3350(02)01999-5" @default.
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