Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center
Abstract Purpose To determine the indications and surgical outcomes of intraocular lens (IOL) exchange in pseudophakic patients at Labbafinejad Tertiary Referral Center between 2014 and 2019. Methods In this retrospective interventional case series, the medical records of 193 patients with a history...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-03-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-02871-y |
| _version_ | 1797853987569926144 |
|---|---|
| author | Mohammadreza Jafarinasab Masomeh Kalantarion Sadid Hooshmandi Kiana Hassanpour Danial Najdi Bahareh Kheiri Hamideh Sabbaghi |
| author_facet | Mohammadreza Jafarinasab Masomeh Kalantarion Sadid Hooshmandi Kiana Hassanpour Danial Najdi Bahareh Kheiri Hamideh Sabbaghi |
| author_sort | Mohammadreza Jafarinasab |
| collection | DOAJ |
| description | Abstract Purpose To determine the indications and surgical outcomes of intraocular lens (IOL) exchange in pseudophakic patients at Labbafinejad Tertiary Referral Center between 2014 and 2019. Methods In this retrospective interventional case series, the medical records of 193 patients with a history of IOL exchange were reviewed. Preoperative data, including clinical characteristics, indications of the first and second IOL implantation, intra- and postoperative complications due to IOL exchange, and the pre-and postoperative refractive error and best-corrected visual acuity (BCVA) were considered the outcome measures in this study. All postoperative data were analyzed at least six months after follow-up. Results The mean age of our participants was 59.13 ± 20.97 years old at the time of the IOL exchange, with a male percentage of 63.2%. The mean follow-up after the IOL exchange was 15.72 ± 16.28 months. The main indications of IOL exchange were IOL decentration (50.3%), corneal decompensation (30.6%), and residual refractive errors (8.3%). 57.10% of patients with the postoperative spherical equivalent at -2.00 diopter (D) to + 2.00D. The mean best-corrected visual acuity was 0.82 ± 0.76 LogMAR before the IOL exchange and was improved to 0.73 ± 0.79 LogMAR after the surgery. Corneal decompensation (6.2%), glaucoma (4.7%), retinal detachment (4.1%), cystoid macular edema (2.1%), and uveitis (1%) were found as the postoperative complications. There was only one case with suprachoroidal hemorrhage during IOL exchange. Conclusions IOL decentration followed by corneal decompensation was the most common indication of IOL exchange. After IOL exchange, the most complications during follow-up were corneal decompensation, glaucoma, retinal detachment, and cystoid macular edema. |
| first_indexed | 2024-04-09T19:58:35Z |
| format | Article |
| id | doaj.art-65c28b64b4f94a3fbcb4222769b99fcd |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-09T19:58:35Z |
| publishDate | 2023-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-65c28b64b4f94a3fbcb4222769b99fcd2023-04-03T05:20:29ZengBMCBMC Ophthalmology1471-24152023-03-012311710.1186/s12886-023-02871-yIndications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral CenterMohammadreza Jafarinasab0Masomeh Kalantarion1Sadid Hooshmandi2Kiana Hassanpour3Danial Najdi4Bahareh Kheiri5Hamideh Sabbaghi6Department of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical SciencesDepartment of Medical Education, Virtual School of Medical Education and Management, Shahid Beheshti University of Medical SciencesDepartment of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical SciencesDepartment of Ophthalmology, School of Medicine, Shahid Beheshti University of Medical SciencesOphthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical SciencesOphthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical SciencesOphthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical SciencesAbstract Purpose To determine the indications and surgical outcomes of intraocular lens (IOL) exchange in pseudophakic patients at Labbafinejad Tertiary Referral Center between 2014 and 2019. Methods In this retrospective interventional case series, the medical records of 193 patients with a history of IOL exchange were reviewed. Preoperative data, including clinical characteristics, indications of the first and second IOL implantation, intra- and postoperative complications due to IOL exchange, and the pre-and postoperative refractive error and best-corrected visual acuity (BCVA) were considered the outcome measures in this study. All postoperative data were analyzed at least six months after follow-up. Results The mean age of our participants was 59.13 ± 20.97 years old at the time of the IOL exchange, with a male percentage of 63.2%. The mean follow-up after the IOL exchange was 15.72 ± 16.28 months. The main indications of IOL exchange were IOL decentration (50.3%), corneal decompensation (30.6%), and residual refractive errors (8.3%). 57.10% of patients with the postoperative spherical equivalent at -2.00 diopter (D) to + 2.00D. The mean best-corrected visual acuity was 0.82 ± 0.76 LogMAR before the IOL exchange and was improved to 0.73 ± 0.79 LogMAR after the surgery. Corneal decompensation (6.2%), glaucoma (4.7%), retinal detachment (4.1%), cystoid macular edema (2.1%), and uveitis (1%) were found as the postoperative complications. There was only one case with suprachoroidal hemorrhage during IOL exchange. Conclusions IOL decentration followed by corneal decompensation was the most common indication of IOL exchange. After IOL exchange, the most complications during follow-up were corneal decompensation, glaucoma, retinal detachment, and cystoid macular edema.https://doi.org/10.1186/s12886-023-02871-yIndicationsSurgical OutcomesIntraocular Lens ExchangePseudophakia |
| spellingShingle | Mohammadreza Jafarinasab Masomeh Kalantarion Sadid Hooshmandi Kiana Hassanpour Danial Najdi Bahareh Kheiri Hamideh Sabbaghi Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center BMC Ophthalmology Indications Surgical Outcomes Intraocular Lens Exchange Pseudophakia |
| title | Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center |
| title_full | Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center |
| title_fullStr | Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center |
| title_full_unstemmed | Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center |
| title_short | Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center |
| title_sort | indications and outcomes of intraocular lens exchange among pseudophakic eyes in a tertiary referral center |
| topic | Indications Surgical Outcomes Intraocular Lens Exchange Pseudophakia |
| url | https://doi.org/10.1186/s12886-023-02871-y |
| work_keys_str_mv | AT mohammadrezajafarinasab indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter AT masomehkalantarion indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter AT sadidhooshmandi indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter AT kianahassanpour indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter AT danialnajdi indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter AT baharehkheiri indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter AT hamidehsabbaghi indicationsandoutcomesofintraocularlensexchangeamongpseudophakiceyesinatertiaryreferralcenter |