Can a intraocular lens be removed & replaced or can it be readjusted?

[Punky0174]

I had cataract surgery in 2009 on both my eyes. I recently had a retinal detachment in my left eye and had surgery to fix this. During the surgery my artificial lense popped out and the surgeon put it back in. It has now been 8 weeks since this surgery and my regular Optometrist has done scans and told me that I have ghosting / blurry vision due to the artificial lense now only covering half of my eye. My surgeon never told me about the lense being out of place but did tell me he could find no reason for my vision to be this way. I am not sure if legally he is responsible ( yes it did pop out ) but he assumed responsibility by replacing it. If it had of been replaced properly I wouldn't have this problem. So I'm wondering if it can be just surgically re-adjusted or if it needs to be removed & replaced altogether?

[JohnHaganMD]

I would suggest you start by discussing this with your retina surgeon. Dislocation of an IOL (intraocular lens) is a known complication of RD surgery and can occur to even the most skilled and careful surgeon.  Replacing and reposition and IOL is unsual and something most regular cataract surgeons rarely have to do. Your retina surgeon can probably refer you to a cataract/cornea specialist in your area that specializes in post operative cataract surgery complications. Special techniques like "scleral fixation" are often necessary to keep the IOL centered in the proper position.

Know also when you have a RD in one eye especially if both eyes have had cataract surgery the risk of another RD in your fellow eye is high,perhaps as high as 10% discuss this also with your retina surgeon.