April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Intraocular Lens Exchange Surgery in Dissatisfied Patients With Refractive Intraocular Lenses
Author Affiliations & Notes
  • M. Gonzalez
    Ophthalmology, Bascom Palmer Eye Institute, Palm Beach Gardens, Florida
  • A. Galor
    Bascom Palmer Eye Institute, University of Miami, Miami, Florida
  • D. Goldman
    Bascom Palmer Eye Institute, University of Miami, Palm Beach Gardens, Florida
  • T. P. O'Brien
    Bascom Palmer Eye Institute, University of Miami, Palm Beach Gardens, Florida
  • Footnotes
    Commercial Relationships  M. Gonzalez, None; A. Galor, None; D. Goldman, None; T.P. O'Brien, None.
  • Footnotes
    Support  unrestricted grant from Research to Prevent Blindness
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 6117. doi:
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    • Get Citation

      M. Gonzalez, A. Galor, D. Goldman, T. P. O'Brien; Intraocular Lens Exchange Surgery in Dissatisfied Patients With Refractive Intraocular Lenses. Invest. Ophthalmol. Vis. Sci. 2009;50(13):6117.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To evaluate surgical outcomes after intraocular lens (IOL) exchange of refractive IOLs in dissatisfied patients

Methods: : Retrospective case series of dissatisfied patients who sought consultation and subsequently underwent IOL exchange surgery to remove a refractive IOL. Data collected included pre-operative subjective and objective findings, surgical technique, and post-operative course.

Results: : Ten patients (eleven eyes) underwent IOL exchange of a refractive lens implant. All patients had subjective visual complaints prior to IOL exchange surgery. In spite of this, pre-operative best corrected distance visual acuity (BCVA) measured 20/30 or better in all eyes. During IOL exchange surgery, an aspheric monofocal type lens was placed either in the capsular bag or in the ciliary sulcus. Adjunctive anterior vitrectomy was performed as indicated for vitreous prolapse. Median follow up time after IOL exchange surgery was 2.4 months. Eight patients were satisfied with the results of the IOL exchange surgery while two patients felt the initial symptoms persisted after implant exchange surgery. BCVA at distance measured 20/25 or better in 8/11 eyes at 1 month. BCVA at distance in the remaining three eyes improved to 20/25 or better at 3 months (2 patients) and 6 months (1 patient). One patient had a complicated post-operative course necessitating repeat IOL exchange with scleral fixation due to inadequate capsular support.

Conclusions: : IOL exchange is a feasible option for dissatisfied patients with persistent visual complaints after refractive intraocular lens placement.

Keywords: clinical (human) or epidemiologic studies: outcomes/complications • refractive surgery: complications 
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