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Indications and outcomes for the removal of intraocular lens implants in a retinal surgery practice

Ophthalmic Surgery, Lasers and Imaging Aug 26, 2019

Patel NA, et al. - Researchers assessed a retrospective, noncomparative, consecutive, interventional case series of patients who underwent intraocular lens (IOL) removal by a single surgeon in order to assess the reasons for and clinical outcomes of IOL removal, with or without exchange, in the setting of retina surgery. Among 63 eyes with IOL removal, IOL was removed most commonly due to IOL opacities in 42 eyes (67%), followed by nonspecific nature of opacities (n = 19; 45%), oil artifact (n = 17; 40%), opaque nonvascular membranes (n = 4; 10%), and fibrovascular proliferation (n = 2; 5%). Other causes for removal were IOL dislocation (n = 14; 22%), endophthalmitis (n = 7; 11%), and broken IOL haptic (n = 1; 2%). Findings emphasize the vitreoretinal surgeon to remain ready for IOL removal, especially in cases with IOL opacification and dislocation that compromise the view or capability to achieve primary retinal reattachment objectives.
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