Fifteen years of IOL exchange: indications, outcomes, and complications

2020 ◽  
Vol 46 (12) ◽  
pp. 1596-1603
Author(s):  
Jordy Goemaere ◽  
Céline Trigaux ◽  
Laurens Denissen ◽  
Diana Dragnea ◽  
Minh-Tri Hua ◽  
...  
Keyword(s):  
Iol Exchange

scholarly journals Late Opacification of Foldable Intraocular Lenses

2012 ◽  
Vol 46 (2) ◽  
pp. 95-97
Author(s):  
Nishant Gupta ◽  
Jagat Ram ◽  
Manish Chaudhary ◽  
Jaspreet Singh Sukhija ◽  
Jaidrath Kumar
Keyword(s):  
Diabetes Mellitus ◽  
Intraocular Lens ◽  
Manufacturing Process ◽  
Case Series ◽  
Intraocular Lenses ◽  
Hydrophobic Acrylic ◽  
Iol Exchange

ABSTRACT Objective To report opacification of hydrophilic acrylic and silicone foldable intraocular lenses (IOL). Designs Case series. Participants Five patients with IOL opacification. Results We report five eyes of five patients with late opacification of the intraocular lens (IOL). Three patients had hydrophilic acrylic (SC60B-OUV-MDR, Inc), two had silicone IOL (Allergan SI30NB). Two out of the three patients with opacified hydrophilic acrylic IOLs had diabetes mellitus. Three eyes with opacified acrylic IOL underwent IOL exchange with hydrophobic acrylic IOL. Two silicone IOL patients had no visually significant opacification and were managed conservatively. Conclusion IOL optic opacification in hydrophilic acrylic and silicone IOL may be due to defective material, manufacturing process, storage. How to cite this article Ram J, Gupta N, Chaudhary M, Sukhija JS, Gupta A, Kumar J. Late Opacification of Foldable Intraocular Lenses. J Postgrad Med Edu Res 2012;46(2):95-97.

Outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) performed in eyes with failure of primary Descemet membrane endothelial keratoplasty (DMEK)

2018 ◽  
Vol 103 (5) ◽  
pp. 599-603 ◽  
Author(s):  
Shmuel Graffi ◽  
Pia Leon ◽  
Yoav Nahum ◽  
Shay Gutfreund ◽  
Rossella Spena ◽  
...  
Keyword(s):  
Intraoperative Complications ◽  
Tertiary Care ◽  
Case Series ◽  
Care Hospital ◽  
Endothelial Keratoplasty ◽  
Descemet Membrane Endothelial Keratoplasty ◽  
Visual Rehabilitation ◽  
Descemet Membrane ◽  
Graft Thickness ◽  
Iol Exchange

AimTo evaluate the outcomes of ultrathin Descemet stripping automated endothelial keratoplasty (UT-DSAEK) performed in eyes after failure of primary Descemet membrane endothelial keratoplasty (DMEK).MethodsThis was a retrospective, non-comparative interventional case series done in a tertiary care hospital. The study group included 21 eyes of patients which underwent UT-DSAEK following the failure of primary DMEK. Outcome measures included best spectacle-corrected visual acuity (BSCVA) and endothelial cell density (ECD) both recorded 6 and 12 months postoperatively as well as central graft thickness (CGT) measured 6 months after UT-DSAEK.ResultsWhen considering only eyes without comorbidities (17 of 21), 12 months after UT-DSAEK, BSCVA was ≥20/25 in 12/13 (92%) eyes and ≥20/20 in 4/13 (30%) eyes. Mean ECD loss rate was 38.9% at 12 months postoperatively (range 8%–57%). Six months postoperatively, CGT averaged at 81±34 µm (range 34–131 µm). No intraoperative complications were recorded. Postoperatively, one patient (no. 8) had graft wrinkles that were fixed 2 days following UT-DSAEK. Four patients have developed intraocular lens (IOL) opacification, and two of them underwent IOL exchange. No other postoperative complications were recorded.ConclusionsUT-DSAEK is instrumental in the management of primary DMEK graft failure, allowing visual rehabilitation which is comparable with that of repeat DMEK.

Resolving Refractive Error After Cataract Surgery: IOL Exchange, Piggyback Lens, or LASIK

2013 ◽  
Vol 29 (10) ◽  
pp. 676-683 ◽  
Author(s):  
Roberto Fernández-Buenaga ◽  
Jorge L. Alió ◽  
Andrés L. Pérez Ardoy ◽  
Adrián Larrosa Quesada ◽  
Laura Pinilla Cortés ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Refractive Error ◽  
Iol Exchange

Endothelial keratoplasty with anterior chamber intraocular lens versus secondary posterior chamber intraocular lens

2020 ◽  
pp. bjophthalmol-2020-316711
Author(s):  
Jyh Haur Woo ◽  
Anshu Arundhati ◽  
Soon-Phaik Chee ◽  
Weihan Tong ◽  
Lim Li ◽  
...  
Keyword(s):  
Anterior Chamber ◽  
Graft Survival ◽  
Intraocular Lens ◽  
Posterior Chamber ◽  
Bullous Keratopathy ◽  
Endothelial Keratoplasty ◽  
Significant Difference ◽  
Iris Claw ◽  
Iol Exchange

AimTo describe the long-term outcomes of Descemet stripping automated endothelial keratoplasty (DSAEK) with an anterior chamber intraocular lens (ACIOL) compared to secondary posterior chamber (PC) IOL.MethodsThis was a retrospective comparative cohort study. The clinical data of 82 eyes from 82 consecutive patients with pseudophakic (PBK) or aphakic bullous keratopathy (ABK) who either underwent DSAEK with retained or secondary ACIOL (n=23) or DSAEK with IOL exchange and/or secondary PCIOL (retropupillary iris-claw IOL, n=25; intrascleral-fixated IOL, n=29; or sulcus IOL, n=5) were analysed. The main outcome measures were graft survival and complications up to 5 years.ResultsThe graft survival in the secondary PCIOL group was superior than the ACIOL group over 5 years (year 1, 100.0% vs 100.0%; year 3, 94.7% vs 75.0%; year 5, 91.1% vs 60.6%, p=0.022). The presence of an ACIOL was a significant risk factor associated with graft failure (HR, 4.801; 95% CI, 1.406 to 16.396, p=0.012) compared to a secondary PCIOL. There was no significant difference in the rate of graft detachment and elevated intraocular pressure between the groups. There were five cases (9.3%) of IOL subluxation or dislocation in the retropupillary iris-claw and intrascleral-fixated IOL groups.ConclusionsEyes that underwent DSAEK with ACIOL in situ had poorer long-term graft survival compared with those with secondary PCIOL. Intraocular lens exchange was not associated with a higher complication rate. In ABK or PBK eyes with ACIOL, we recommend performing IOL exchange and/or secondary PCIOL implantation combined with endothelial keratoplasty.

Recurrent Vitreous Hemorrhage Secondary to Sulcus Positioning of a One-Piece Acrylic Intraocular Lens Haptic: Report of 3 Cases and Management With Retrocapsular Haptic Repositioning

2017 ◽  
Vol 1 (5) ◽  
pp. 328-330 ◽  
Author(s):  
Dimosthenis Mantopoulos ◽  
Jonathan L. Prenner ◽  
H. Matthew Wheatley
Keyword(s):  
Intraocular Lens ◽  
Vitreous Hemorrhage ◽  
Single Piece ◽  
Simple Alternative ◽  
Recurrent Vitreous Hemorrhage ◽  
Capsular Bag ◽  
Iol Exchange

Three pseudophakic patients presented with recurrent, unilateral vitreous hemorrhage, one of which also had uveitis, glaucoma, and hyphema, consistent with “uveitis–glaucoma–hyphema (UGH)-Plus” syndrome. Arcuate transillumination defects secondary to inadvertent placement of 1 intraocular lens (IOL) haptic in the sulcus were identified in each case. The second haptic and optic were located in the capsular bag. The IOLs were all single-piece foldable acrylic lenses with square-edge haptic design. Surgical repositioning of the malpositioned haptic from the sulcus to the retrocapsular space resulted in the resolution of the recurrent vitreous hemorrhage. This series highlights the fact that recurrent vitreous hemorrhage secondary to iris chafing, with or without UGH, may occur in cases where a square-edge IOL haptic is placed in the sulcus. Vitrectomy with repositioning of the malpositioned IOL is a simple alternative to IOL exchange in these cases.

Retained IOL fragment and corneal decompensation after pseudophakic IOL exchange

2004 ◽  
Vol 30 (6) ◽  
pp. 1362-1365 ◽  
Author(s):  
Richard S Hoffman ◽  
Howard I. Fine ◽  
Mark Packer
Keyword(s):  
Corneal Decompensation ◽  
Iol Exchange
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