Risk factors for explantation of iris-fixated phakic intraocular lenses

Journal of Cataract and Refractive Surgery
Soraya M R JonkerRudy M M A Nuijts

Abstract

To determine risk factors for explantation of iris-fixated phakic intraocular lenses (pIOLs) with a maximum 17-year follow-up. University Eye Clinic Maastricht, Maastricht UMC+, the Netherlands. Prospective case series. Eyes that had implantation of 1 of various iris-fixated pIOL models from 1998 to 2016 were evaluated. Primary outcome measures were the rate and proportion of pIOL explantations and the survival time (ie, time to pIOL explantation) in general and specifically as a result of cataract formation or endothelial cell loss (ECL). The study comprised 1037 eyes. The mean follow-up was 69.3 months ± 52.8 (SD) and the mean preoperative age, 40.2 ± 10.9 years. The overall explantation rate was 12% after a mean of 166.1 months ± 3.0 (standard error). Phakic IOL explantations were performed in 59% of eyes because of cataract formation and in 32% because of ECL. Shorter survival was seen with a higher preoperative age (hazard ratio [HR], 1.07/y; P < .001), longer axial length (AL) (HR, 1.10/mm; P = .009), and smaller anterior chamber depth (ACD) (HR, 4.47/mm; P < .001). Factors for shorter survival resulting from cataract were older preoperative age, longer AL, and larger ACD. Risk factors contributing to shorter survival res...Continue Reading

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Citations

Sep 12, 2020·International Ophthalmology·M E SucuT Yasar
Dec 11, 2020·Journal of Cataract and Refractive Surgery·Gwyneth A van RijnGregorius P M Luyten
Jul 29, 2021·European Journal of Ophthalmology·Mariano RoyoJosé F Alfonso
Oct 17, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Zoraida Solaiga GaurisankarJan-Willem M Beenakker

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