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Perioperative complications and clinical outcomes of intraocular lens exchange in patients with opacified lenses

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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.

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Acknowledgment

This study has been supported in part by a grant from the Spanish Ministry of Economy and Competitiviness, Instituto Carlos III, Red Temática de Investigación Cooperativa en Salud (RETICS) “Prevención, detección precoz y tratamiento de la patología ocular prevalente, degenerativa y crónica” Subprograma “dioptrio ocular y patologías frecuentes” (RD12/0034/0007).

The authors have no proprietary or commercial interest in the medical devices that are involved in this manuscript.

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Authors and Affiliations

  1. Vissum Corporation, Avda de Denia s/n, Edificio Vissum, 03016, Alicante, Spain

    Roberto Fernández-Buenaga & Jorge L. Alió

  2. Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain

    Jorge L. Alió

  3. Institut Universitari Barraquer, Universitat Autónoma de Barcelona, Barcelona, Spain

    Laura Pinilla-Cortés & Rafael I. Barraquer

Authors
  1. Roberto Fernández-Buenaga
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  2. Jorge L. Alió
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  3. Laura Pinilla-Cortés
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  4. Rafael I. Barraquer
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Corresponding author

Correspondence to Jorge L. Alió.

Additional information

The study was approved by the Institutional Ethics Committee, and adhered to the Tenets of the Declaration of Helsinki (2008).

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Fernández-Buenaga, R., Alió, J.L., Pinilla-Cortés, L. et al. Perioperative complications and clinical outcomes of intraocular lens exchange in patients with opacified lenses. Graefes Arch Clin Exp Ophthalmol 251, 2141–2146 (2013). https://doi.org/10.1007/s00417-013-2411-7

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  • DOI: https://doi.org/10.1007/s00417-013-2411-7

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