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Intraocular Lens Explantation and Exchange

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Cataract Surgery

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

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Abstract

Intraocular lens (IOL) explantation after uneventful cataract surgery is rare but associated with the potential risk of complications. In previous years, the main causes of IOL explantation were pseudophakic bullous keratopathy (PBK), uveitis-glaucoma-hyphema syndrome, endophthalmitis, and cystoid macular edema. The improvement in phacoemulsification surgery goes in tandem with higher patient demands and expectations of the surgery. Therefore, in recent years, incorrect lens power and neuroadaptation failure to multifocal IOLs are also well-recognized indications for IOL explantation and exchange. IOL opacification, although it was an epidemic in the past especially associated with certain IOL models, is currently still occurring even with some new IOL models. In this review, the main reported IOL explantation techniques are explained as well as the outcomes of explantation surgeries according to the reason for explantation.

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Financial Support

This study has been supported in part by the Red Temática de Investigación Cooperativa en Salud (RETICS), reference number RD16/0008/0012, funded by the Instituto de Salud Carlos III, and co-funded by the European Regional Development Fund (ERDF), “A way to make Europe.”

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Authors and Affiliations

  1. Cornea, Cataract and Refractive Surgery Unit, Department of Ophthalmology, Hospital Quironsalud Marbella, Alicante, Spain

    Ali Nowrouzi

  2. Cornea, Refractive and Cataract Surgery Unit, Vissum Miranza Alicante, Alicante, Spain

    Jorge Alió del Barrio, Olena Al-Shymali & Jorge L. Alió

  3. Division of Ophthalmology, School of Medicine, Miguel Hernandez University, Alicante, Spain

    Jorge Alió del Barrio, Olena Al-Shymali & Jorge L. Alió

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  1. Ali Nowrouzi
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  2. Jorge Alió del Barrio
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  3. Olena Al-Shymali
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  4. Jorge L. Alió
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Correspondence to Jorge L. Alió .

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Editors and Affiliations

  1. Division of Ophthalmology, School of Medicine, Miguel Hernandez University, Alicante, Spain

    Jorge L. Alió

  2. Ruhr University Eye Clinic, Bochum, Germany

    H. Burkhard Dick

  3. Cincinnati Eye Institute, University of Cincinnati, Video Journal of Cataract, Refractive & Glaucoma Surgery, Cincinnati, OH, USA

    Robert H. Osher

Electronic Supplementary Material

PanOptix exchange for Oculentis MF15 (MP4 104705 kb)

Restore exchange for Oculentis M3 (MP4 285938 kb)

Miniwell exchange for Oculentis M3 (MP4 312903 kb)

Miniwell exchange for AT Lisa Tri (MP4 328355 kb)

Oculentis MF30 for Oculentis MF15 (MP4 182875 kb)

Oculentis MF30 for AT Lisa Tri Zeiss (MP4 396868 kb)

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Nowrouzi, A., Alió del Barrio, J., Al-Shymali, O., Alió, J.L. (2022). Intraocular Lens Explantation and Exchange. In: Alió, J.L., Dick, H.B., Osher, R.H. (eds) Cataract Surgery . Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-94530-5_18

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