Management of 2 intraocular lenses in the same eye.

OBJECTIVE To present options for managing a patient with a dislocated intraocular lens (IOL) in the presence of a second, nondislocated IOL. METHODS A review of 3 consecutive cases and the surgical maneuvers used in managing them. RESULTS The anterior chamber IOL was removed after scleral fixating the dislocated posterior chamber IOL in 1 case with corneal disease. The foldable, dislocated, original posterior chamber IOL was manipulated around an existing posterior chamber IOL and then removed at the limbus in 2 other cases. The visual acuity and retained IOL were stable in all 3 eyes. CONCLUSIONS Existing techniques with minimal modifications can be applied to managing an eye with a dislocated IOL and a coexisting nondislocated IOL with satisfactory results, but treatment needs to be customized to the specific situation.