We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Perioperative complications and clinical outcomes of intraocular lens exchange in patients with opacified lenses.
- Authors
Fernández-Buenaga, Roberto; Alió, Jorge; Pinilla-Cortés, Laura; Barraquer, Rafael
- Abstract
Background: To evaluate the perioperative complications and the outcomes of intraocular lens (IOL) exchange in patients with opacified lenses. Methods: Retrospective multicentrical consecutive series of cases that comprised 22 eyes from 21 patients who had previous phacoemulsification with implantation of an IOL in the capsular bag and developed severe late opacification of the IOL. All patients had loss of vision and reported light disturbances. The IOLs were explanted and replaced with new IOLs. The perioperative complications were evaluated. The best spectacle-corrected visual acuity (BSCVA) before and after the surgery was compared. Results: The mean time lapsed between the original cataract surgery and the IOL exchange surgery was 89.1 ± 33.6 [48-216] months. The IOL exchange was uneventful in 14 eyes (63.6 %). Anterior vitrectomy was needed in seven cases (31.8 %). Other complications included zonular dehiscence in one case (4.5 %). In most of the cases, 14 eyes (63.6 %), the IOL was implanted in the sulcus. The most explanted IOL was the Hydroview H60M (Bausch & Lomb). The mean BSCVA (LogMAR) before and after the surgery were 0.57 ± 0.69 (0.10-3) and 0.18 ± 0.22 (0.0-1.10) respectively ( t paired test, p < 0.001). After the operation, 20 eyes (90.9 %) achieved a BSCVA ≤ 0.3. No eye lost 1 or more lines of corrected vision after the surgery. Conclusions: IOL exchange surgery, although associated with a high incidence of complications, restores and significantly improves the visual acuity of patients with opacified IOLs.
- Subjects
INTRAOCULAR lens complications; PERIOPERATIVE care; HEALTH outcome assessment; VITRECTOMY; PHACOEMULSIFICATION
- Publication
Graefe's Archive of Clinical & Experimental Ophthalmology, 2013, Vol 251, Issue 9, p2141
- ISSN
0721-832X
- Publication type
Article
- DOI
10.1007/s00417-013-2411-7