Management of Irvine-Gass syndrome with a scleral intraocular lens

Abstract

Pseudophakic cystoid macular edema is a common complication when placing an intraocular lens (IOL) in the sulcus (8%). The vitrectomy with implantation of a new scleral-fixated IOL with self-blocking plugs permits to resolve the chronic pseudophakic cystoid macular edema resulting from the implantation of a 3-piece acrylic IOL placed in the sulcus. This new type of IOL seems to have multiple potential advantages compared with glued IOL or iris-claw IOL in the management of Irvine-Gass syndrome secondary to the placement of IOL in the sulcus.