Management of Subluxated Cataracts

Surgical management of ectopia lentis is one of the major challenges faced by cataract surgeons today. Ectopia lentis signifies a displacement or malposition of the crystalline lens, irrespective of cause. It may occur congenitally or as part of developmental anomalies, as found in Marfan syndrome, homocystinuria, Ehlers-Danlos syndrome, hyperlysinemia, sulfite oxidase deficiency, simple primary ectopia lentis, and congenital aniridia syndrome.1,2 Pseudoexfoliation syndrome (PXF) is probably the most common cause of adultonset zonular dehiscence. Subluxation may also result from blunt external trauma or iatrogenic zonular dehiscence during complicated cataract surgery.3,4 This article offers five pearls for managing these challenging cases.