Intraocular lens explantation or exchange: indications, postoperative interventions, and outcomes

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dc.contributor.authorOltulu, Refik
dc.contributor.authorErsan, Ismail
dc.contributor.authorSatirtav, Gunhal
dc.contributor.authorDonbaloglu, Meryem
dc.contributor.authorKerimoglu, Hurkan
dc.contributor.authorOzkagnici, Ahmet
dc.date.accessioned2024-02-23T14:44:46Z
dc.date.available2024-02-23T14:44:46Z
dc.date.issued2015
dc.departmentNEÜen_US
dc.description.abstractPurpose: To analyze the indications for explantation or exchange of intraocular lenses (IOLs), which were originally implanted for the correction of aphakia during cataract extraction. Methods: All cases that involved intraocular lens explantation or exchange in one institution between January 2008 and December 2014 were analyzed retrospectively. Results: In total, 93 eyes of 93 patients were analyzed. The median time interval between implantation and explantation of the anterior chamber intraocular lenses (AC IOL) and posterior chamber intraocular lenses (PC IOL) was 83.40 +/- 83.14 months (range: 1-276 months) and 55.14 +/- 39.25 months (range: 1-168 months), respectively. Pseudophakic bullous keratopathy (17 eyes, 38.6%) and persistent iritis (12 eyes, 27.8%) in the AC IOL group and dislocation or decentration (30 eyes, 61.2%) and incorrect IOL power (nine eyes, 18.4%) in the PC IOL group were the most common indications for explantation of IOLs. The mean logMAR best corrected visual acuity (BCVA) improved significantly from 1.30 preoperatively to 0.62 postoperatively in the PC IOL group (p<0.001) but did not improve significantly in the AC IOL group (p=0.186). Conclusions: The primary indication for IOL explantation or exchange was pseudophakic bullous keratopathy in the AC IOL group and was dislocation or decentration in the PC IOL group. PC IOL explantation or exchange is safe and improves visual acuity.en_US
dc.identifier.doi10.5935/0004-2749.20150040
dc.identifier.endpage157en_US
dc.identifier.issn0004-2749
dc.identifier.issn1678-2925
dc.identifier.issue3en_US
dc.identifier.pmid26222103en_US
dc.identifier.scopus2-s2.0-84938088305en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage154en_US
dc.identifier.urihttps://doi.org/10.5935/0004-2749.20150040
dc.identifier.urihttps://hdl.handle.net/20.500.12452/17110
dc.identifier.volume78en_US
dc.identifier.wosWOS:000358772000005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherConsel Brasil Oftalmologiaen_US
dc.relation.ispartofArquivos Brasileiros De Oftalmologiaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCataract Extractionen_US
dc.subjectLensesen_US
dc.subjectIntraocularen_US
dc.subjectReoperationen_US
dc.subjectDevice Removalen_US
dc.subjectLens Implantationen_US
dc.subjectIntraocularen_US
dc.subjectPseudophakiaen_US
dc.subjectCorneal Diseasesen_US
dc.subjectPatient Satisfactionen_US
dc.subjectVisual Acuityen_US
dc.titleIntraocular lens explantation or exchange: indications, postoperative interventions, and outcomesen_US
dc.typeArticleen_US

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