Combination Surgery With Transcorneal Microincision Vitrectomy Surgery and Intrascleral Intraocular Lens Fixation for Spontaneous Intraocular Lens Luxation.

To present a combination technique for two cases of in-the-bag intraocular lens (IOL) luxation into the vitreous cavity. Vitrectomy was performed via a cornea microincision vitrectomy system, and the luxated IOL was fixed into the sclera. IOL fixation is simple from no trocar cannulas and less disrupted conjunctiva. Postoperative corneal endothelial cell density in Case 1 and Case 2 were reduced by -2.1% and -5.1%, respectively. Postoperative frequency of hexagon was decreased in Case 1 but maintained in Case 2. The authors concluded that combination surgery has distinct benefits for IOL luxation; however, long-term corneal changes need to be further assessed. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:267-271.].