Review Article

Epidemiology, Etiology, and Prevention of Late IOL-Capsular Bag Complex Dislocation: Review of the Literature

Table 1

Types of spontaneous IOL dislocations.

Early casesLate cases

Time following cataract surgery<3 months≥3 months (even years after uncomplicated cataract surgery)

PathogenesisInadequate IOL fixation within the secure capsular bagProgressive zonular insufficiency and capsular bag contraction

Predisposing factorsTearing of the posterior capsule and rupture of the equatorial zonuleAging, high myopia, uveitis, trauma, retinitis pigmentosa, diabetes mellitus, atopic dermatitis, connective tissue disorders, and previous vitreoretinal surgery or acute angle-closure glaucoma attack