Loose Lens Surgical Management

Abstract

The loose lens has numerous etiologies, of which trauma and pseudoexfoliation syndrome are the most common. In addition to history, numerous signs observed at the slit-lamp should be recognized and evaluated. Proper identification and surgical planning can help avoid complications during cataract extraction. The surgical indications for lens extraction, surgical techniques to improve stability throughout the entire case, and reported results of these measures will be discussed. With an appropriate approach and settings, phacoemulsification can successfully be performed with a loose lens. Specific adjunctive measures discussed include capsular tension rings and capsule hooks. Through a thorough evaluation and knowledge of various surgical techniques to stabilize the lens, the postoperative outcomes for phacoemulsification of the loose lens can be significantly improved.