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. 2016 Oct-Dec;23(4):293-295.
doi: 10.4103/0974-9233.194076.

Causes of Phakic Implantable Collamer Lens Explantation/Exchange at King Khaled Eye Specialist Hospital

Nasser A AlSabaani  1 , Ashley Behrens  2 , Sabah Jastanieah  3 , Salem Al Malki  3 , Mohanna Al Jindan  4 , Saeed Al Motowa  3
Affiliations

Causes of Phakic Implantable Collamer Lens Explantation/Exchange at King Khaled Eye Specialist Hospital

Nasser A AlSabaani et al. Middle East Afr J Ophthalmol. 2016 Oct-Dec.

Abstract

Purpose: The purpose of this study is to evaluate the causes of phakic implantable collamer lens (ICL) explantation/exchange at an eye hospital in Saudi Arabia.

Materials and methods: A retrospective chart review was performed for patients who underwent ICL implantation from 2007 to March 2014 and data were collected on cases that underwent ICL explantation.

Results: Of the 787 ICL implants, 30 implants (3.8% [95% confidence interval 2.6%; 5.3%]) were explanted. The causes of explantation included incorrect lens size (22), cataract (4), high residual astigmatism (2), rhegmatogenous retinal detachment (1), and intolerable glare (1). Corrective measures mainly included an exchange with an appropriately sized lens (9), ICL explantation (11), with phacoemulsification and posterior chamber intraocular lens implantation (6), or replacement with an ICL of correct power (2).

Conclusion: Incorrect ICL size was the most common cause of ICL explantation. More accurate sizing methods for ICL are required to reduce the explantation/exchange rate.

Keywords: Explantation; Saudi Arabia; implantable collamer lens.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Causes for explantation of phakic implantable collamer lens used for treatment of refractive error
See this image and copyright information in PMC

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