Surgical Outcomes following Exchange of Opacified Hydrophilic Acrylic Intraocualr Lenses

Hyung-Jin Moon; Tae-Sun Jeong; In-Cheon You; Kun-Jin Yang; Kyung-Chul Yoon

doi:10.4068/cmj.2008.44.2.99

Journal List > Chonnam Med J > v.44(2) > 1017908

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Moon, Jeong, You, Yang, and Yoon: Surgical Outcomes following Exchange of Opacified Hydrophilic Acrylic Intraocualr Lenses

Original Article

Chonnam Medical Journal

Chonnam Medical Journal 2008; 44(2): 99-103.

Published online: 31 August 2008

DOI: https://doi.org/10.4068/cmj.2008.44.2.99

Surgical Outcomes following Exchange of Opacified Hydrophilic Acrylic Intraocualr Lenses

Hyung-Jin Moon, Tae-Sun Jeong, In-Cheon You, Kun-Jin Yang¹, Kyung-Chul Yoon

Department of Ophthalmology, Chonnam National University and Hospital, Gwangju, Korea.

¹Best Eye Clinic, Korea.

Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea.

Corresponding author (kcyoon@chonnam.ac.kr)

Accepted 21 June 2008

Abstract

To evaluate clinical outcomes of opacified Ophthalmed intraocular lens (IOL) exchange according to the intraoperative complications. Thirty-five patients (35 eyes) underwent exchange of Ophthalmed® IOLs for late postoperative opacification and were divided into two groups. The IOL exchange procedure was uneventful in 23 eyes (group A), whereas posterior capsular rupture or vitreous loss developed in 12 eyes (group B). The preoperative, and postoperative data were analyzed and compared. The mean interval between the initial surgery and the diagnosis of IOL opacification was 21.05±9.26 months (range, 3~43 months). New IOLs were implanted in the capsular bag or sulcus in 25 eyes (71.4%) or by scleral fixation in 10 eyes (28.6%). Following the procedure, the mean logMAR visual acuity (VA) significantly improved from 0.42±0.27 to 0.26±0.28 (p<0.05). VA improved in 13 eyes (37.1%), remained unchanged in 16 eyes (45.7%). There were no significant differences in changes of refraction, intraocular pressure, and endothelial cell count between group A and B. Although exchange procedure for opacified Ophthalmed IOLs had the risk of intraoperative complications, it could be helpful to improve visual function.

Keywords: Intraoperative complications, Intraocular lens, Results

Figures and Tables

Fig. 1

The changes of the best corrected visual acuity after intraocular exchange procedure in both groups (p=0.16).

Fig. 2

Comparison of change of the LogMAR visual acuity between group A and group B. ^*Significant increase comparing with the preoperative BCVA (p=0.01). ^†Significant increase comparing with the preoperative BCVA (p=0.02).

Fig. 3

Comparison of changes of the spherical equivalant between group A and group B.

Fig. 4

Comparison of changes of the intraocular pressure between group A and Group B.

Fig. 5

Comparison of changes of the endothelial cell count between group A and group B.

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