Complications of foldable intraocular lenses requiring explantation or secondary intervention--2007 survey update

Journal of Cataract and Refractive Surgery
N MamalisLiliana Werner

Abstract

The tenth annual survey of complications associated with foldable intraocular lenses (IOLs) requiring explantation or secondary intervention was sent to members of the American Society of Cataract and Refractive Surgery and the European Society of Cataract and Refractive Surgeons. Preoperative data about visual acuity, patient signs and symptoms, and complications requiring IOL removal were evaluated. Complications were then tabulated for each of the following major foldable IOL groups: 1-piece (plate) silicone, 1-piece hydrophobic acrylic with haptics, 3-piece silicone, 3-piece hydrophobic acrylic, 3-piece hydrophilic acrylic (hydrogel), 3-piece unknown, multifocal acrylic, and multifocal silicone. One hundred forty-two surveys were returned for evaluation. Dislocation/decentration, incorrect IOL power, glare/optical aberrations, and IOL calcification were the most common reasons for removing foldable IOLs. Good surgical technique, accurate IOL power measurements, and high manufacturing standards for foldable IOL materials and designs are the most important factors in preventing complications.

References

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Apr 3, 2007·Journal of Cataract and Refractive Surgery·Liliana Werner

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Citations

Apr 5, 2013·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·G SchmidingerL Werner
Dec 1, 2012·Current Opinion in Ophthalmology·Bradley L Shoss, Linda M Tsai
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Jul 27, 2010·Journal of Cataract and Refractive Surgery·Liliana WernerNick Mamalis
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Sep 18, 2017·Journal of Cataract and Refractive Surgery·Liliana WernerNick Mamalis
May 14, 2019·Journal of Cataract and Refractive Surgery·Liliana WernerNick Mamalis
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