IOL explantation: retrospective study from 2011 to 2017 at a tertiary referral center

Session Details

Session Title: IOL Dislocation & Opacification

Session Date/Time: Tuesday 25/09/2018 | 14:00-16:00

Paper Time: 15:48

Venue: Room A3, Podium 1

First Author: : V.De Rojas SPAIN

Co Author(s): :    S. Vina   A. Gestoso   S. Rodriguez   C. Rodriguez           

Abstract Details

Purpose:

To evaluate the causes of IOL explantation, technique for secondary IOL implantaion, visual outcomes and complications.

Setting:

Department of Ophthalmology Complexo Hospitalario Unversitario A Coruña Spain

Methods:

Restrospectiv study including explanted IOLs from 2011 to 2017 at a tertiary referral hospital in A Coruña (Spain). Medical records were reviewed to determine the surgical indication for IOL explantation, type of IOL implanted, time between surgeries, surgical complications and visual outcomes.

Results:

101 IOLs were explanted (96 patients). Mean time from original surgery to IOL explantation was 7.84±5.35 years. Causes of IOL explantation: In-the-bag IOL dislocation (80.2%), out-of-the-bag IOL dislocation (12.9%), refractive surprise (4%), IOL opacification (2%) and uveitis-glaucoma-hyphema syndrome (1%). Procedures for secondary IOL implantation: retropupillar iris-claw IOL (63.4%), angle-supported anterior chamber IOL (9.9%), three-piece IOL in cilliary sulcus (7.9%), flanged scleral fixated IOL (5.9%), in-the-bag IOL (4%). Mean preoperative and postoperative logMAR DCVA: 0.7±0.6 and 0,4±0,5 respectively. Mean preoperative and postoperative IOP: 17,1±4,9 and 15.5±3,6 mmHg respectively. Complications: Cystoid macular edema (9.9%), glaucoma (6.9%), IOL luxation (4%), retinal detachment (1%).

Conclusions:

In-the-bag IOL dislocation was the most frequent indication for IOL explantation, followed by out-of-the bag dislocation. Simultaneous IOL exchange for a retropupillar iris claw IOL was the most frequent procedure for secondary IOL implantation. Mean DCVA improved significantly and IOP decreased significantly after IOL explantation. The most frequent complication was cystoid macular edema. Authors have no financial interest

Financial Disclosure:

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