Indications, complications, and early postoperative course of recovery of intraocular lens exchange xurgery: a Single-Center Retrospective Study = Indikationen, Komplikationen und früher postoperativer Erholungsverlauf nach Intraokularlinsen-Austausch : eine monozentrische retrospektive Studie
<p> <b>Purpose</b> To analyze the indications, complications, and early course of recovery of intraocular lens (IOL) exchange surgery.</p> <p> <b>Material and Methods</b> Records of patients who underwent IOL exchange during a 6-year period at a tertiary ref...
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| Main Authors: | , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
25. April 2023
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| In: |
Klinische Monatsblätter für Augenheilkunde
Year: 2023, Volume: 240, Issue: 4, Pages: 415-420 |
| ISSN: | 1439-3999 |
| DOI: | 10.1055/a-2004-5147 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1055/a-2004-5147 Verlag, lizenzpflichtig, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/a-2004-5147 
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| Author Notes: | Marcio Silva, Selim Orguel, Matthias Becker, Florentina Joyce Freiberg |
| Summary: | <p> <b>Purpose</b> To analyze the indications, complications, and early course of recovery of intraocular lens (IOL) exchange surgery.</p> <p> <b>Material and Methods</b> Records of patients who underwent IOL exchange during a 6-year period at a tertiary referral center were reviewed and the indications and complications after surgical intervention were analyzed. Their effects on postoperative corrected distance visual acuity (CDVA), intraocular pressure (IOP), use of IOP-lowering medications, and refractive cylindrical power were assessed.</p> <p> <b>Results</b> One hundred and seventy-one eyes (165 patients) were investigated. The most frequent indication for IOL exchange was lens dislocation in 163 eyes (95.32%). The main causes of IOL dislocation were pseudoexfoliation syndrome (PEX) in 98 eyes (57.31%) and complications during cataract surgery in 40 eyes (23.39%). During IOL exchange, an anterior iris-claw fixation was performed in 159 eyes (92.98%). After significant initial deterioration to 1.59 ± 1.08 logMAR on postoperative day 1 (p ≤ 0.001), the CDVA recovered to preoperative levels within 28 days. A significant decrease in IOP was observed on postoperative day 1 (p = 0.04). The most common postoperative complications were corneal edema in 114 eyes (66.67%) and vitreous hemorrhage in 67 eyes (39.18%).</p> <p> <b>Conclusion</b> The high early postoperative prevalence of corneal edema and intraocular hemorrhage was found to affect visual recovery after IOL exchange, causing a significant initial deterioration of CDVA and a delay of full visual recovery. These findings suggest that surgical approaches minimizing the risk of this type of complications should be favored.</p> |
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| Item Description: | Gesehen am 20.07.2023 |
| Physical Description: | Online Resource |
| ISSN: | 1439-3999 |
| DOI: | 10.1055/a-2004-5147 |