Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Mar 28;23(1):127.
doi: 10.1186/s12886-023-02871-y.

Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center

Mohammadreza Jafarinasab  1   2 , Masomeh Kalantarion  3 , Sadid Hooshmandi  1 , Kiana Hassanpour  1   2 , Danial Najdi  2 , Bahareh Kheiri  2 , Hamideh Sabbaghi  4   5   6
Affiliations

Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center

Mohammadreza Jafarinasab et al. BMC Ophthalmol. .

Abstract

Purpose: To determine the indications and surgical outcomes of intraocular lens (IOL) exchange in pseudophakic patients at Labbafinejad Tertiary Referral Center between 2014 and 2019.

Methods: In this retrospective interventional case series, the medical records of 193 patients with a history of IOL exchange were reviewed. Preoperative data, including clinical characteristics, indications of the first and second IOL implantation, intra- and postoperative complications due to IOL exchange, and the pre-and postoperative refractive error and best-corrected visual acuity (BCVA) were considered the outcome measures in this study. All postoperative data were analyzed at least six months after follow-up.

Results: The mean age of our participants was 59.13 ± 20.97 years old at the time of the IOL exchange, with a male percentage of 63.2%. The mean follow-up after the IOL exchange was 15.72 ± 16.28 months. The main indications of IOL exchange were IOL decentration (50.3%), corneal decompensation (30.6%), and residual refractive errors (8.3%). 57.10% of patients with the postoperative spherical equivalent at -2.00 diopter (D) to + 2.00D. The mean best-corrected visual acuity was 0.82 ± 0.76 LogMAR before the IOL exchange and was improved to 0.73 ± 0.79 LogMAR after the surgery. Corneal decompensation (6.2%), glaucoma (4.7%), retinal detachment (4.1%), cystoid macular edema (2.1%), and uveitis (1%) were found as the postoperative complications. There was only one case with suprachoroidal hemorrhage during IOL exchange.

Conclusions: IOL decentration followed by corneal decompensation was the most common indication of IOL exchange. After IOL exchange, the most complications during follow-up were corneal decompensation, glaucoma, retinal detachment, and cystoid macular edema.

Keywords: Indications; Intraocular Lens Exchange; Pseudophakia; Surgical Outcomes.

PubMed Disclaimer

Conflict of interest statement

The authors have no relevant financial or non-financial interests to disclose.

Figures

Fig. 1
Fig. 1
The Indications of IOL exchange separated by type of explanted IOL. IOL: intraocular lens; AC: anterior chamber; PC: posterior chamber; UGH: Uveitis-Glaucoma-Hyphema.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Gilbert C, Foster A. Childhood blindness in the context of VISION 2020: the right to sight. Bull World Health Organ. 2001;79:227–32. - PMC - PubMed
    1. Shahdadi H, et al. Frequency of cataract in Iran: a meta-analysis and systematic review. Middle East African journal of ophthalmology. 2018;25(1):40. doi: 10.4103/meajo.MEAJO_300_17. - DOI - PMC - PubMed
    1. Behndig A, et al. One million cataract surgeries: swedish national cataract register 1992–2009. J Cataract Refractive Surg. 2011;37(8):1539–45. doi: 10.1016/j.jcrs.2011.05.021. - DOI - PubMed
    1. Bothun ED, et al. Population-based incidence of intraocular lens exchange in Olmsted County, Minnesota. Am J Ophthalmol. 2018;187:80–6. doi: 10.1016/j.ajo.2017.12.016. - DOI - PMC - PubMed
    1. Goh ES. Maximising safety of cataract surgery training: improving patient safety by reducing cataract surgery complication rates. International journal of health care quality assurance, 2009. - PubMed