Objective:

The article summarizes an AAO 2026 course on removing dislocated IOLs and selecting among secondary IOL placement techniques for retinal specialists.

Approach:

• Course overview: Ajay Kuriyan, MD, describes an AAO 2026 course covering secondary IOL options for retinal specialists at different training levels.
• IOL removal: The course reviewed removing lenses that prolapse into the anterior chamber or are brought from the vitreous cavity into the anterior chamber, including tips for maintaining a small corneal wound to limit astigmatism.
• Replacement techniques: Options discussed included anterior chamber IOLs, iris fixation, scleral fixation using the Yamane or trocar-based technique, and Gore-Tex-sutured MX60 or AO60 lenses.

Key Findings:

• The course covered removing IOLs that prolapse into the anterior chamber or are brought there from the vitreous cavity, including maintaining a small corneal wound to limit astigmatism.
• Placement options discussed included anterior chamber, iris-fixated, and scleral-fixated IOLs, including Yamane, trocar-based, and Gore-Tex-sutured techniques.
• The techniques have different pros and cons, and selection depends on factors including ocular health, prior surgeries, and conjunctival health.

Interpretation:

The speaker's main point is that there is no single best approach for every dislocated IOL; the choice should account for patient-specific factors.

Limitations:

• The context describes an educational course and does not report comparative clinical outcomes or study data.

Conclusion:

Secondary IOL surgery offers several placement options, and the appropriate technique depends on the individual patient.

Sources:

• Article context: A Toolkit for Secondary IOLs