Intraocular lens exchange with removal of the optic only.
OBJECTIVE
To evaluate the clinical outcomes of intraocular lens (IOL) exchange in patients with an opacified ACRL-C160 intraocular lens (IOL) using an optic-only removal technique.


METHODS
Department of Ophthalmology, Soonchunhyang University Hospital, Seoul, Korea.


METHODS
The study comprised eyes with previous phacoemulsification and implantation of a single-piece hydrophilic acrylic IOL in the capsular bag and subsequent development of severe late opacification of the IOL. In all eyes, the IOL optic was explanted; any haptic with firm adhesions was left in the capsular bag. This was followed by placement of a new IOL. The perioperative complications were evaluated, and the best corrected visual acuity (BCVA) before surgery and after surgery was compared.


RESULTS
Twenty-three eyes of 20 patients were evaluated. Uneventful IOL exchange and placement of a new IOL in the bag was achieved in 9 eyes (39.1%) and in the sulcus in 13 eyes (56.5%), with posterior capsule rupture in 2 eyes (8.7%). One eye (4.3%) developed zonular dehiscence, and scleral IOL fixation was performed. The mean BCVA was 0.64 +/- 0.35 logMAR before IOL exchange and 0.24 +/- 0.20 logMAR after IOL exchange. During 41 months of follow-up, 1 eye (4.3%) each was affected by recurrent anterior uveitis and delayed zonular dehiscence. The final mean BCVA was 0.38 +/- 0.40 logMAR. There was no corneal decompensation or infectious keratitis.


CONCLUSIONS
The optic-only removal technique was a safe and helpful procedure that allowed recovery of visual acuity because it decreased the intraoperative complication of zonular dehiscence.
Lee
Sung Jin
SJ
Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea. wismile@unital.co.kr
Sun
Hae Jung
HJ
Choi
Kyung Seek
KS
Park
Song Hee
SH
D000328:Adult; D000368:Aged; D020878:Device Removal / Q000379:methods*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011475:Prosthesis Failure; D012086:Reoperation; D012189:Retrospective Studies; D014792:Visual Acuity / Q000502:physiology