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IOL opacity top reason for removal in retina surgery
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Opacity limiting the surgeon’s view of the posterior segment was the leading cause for IOL removal during vitreoretinal surgery, according to a study.
In a retrospective case series looking at 63 IOL explantations performed by a single surgeon in retina practice at Bascom Palmer Eye Institute, 42 IOLs (67%) were removed because of IOL opacities, followed by dislocation, endophthalmitis-related causes and broken haptics.
“The vitreoretinal surgeon must be prepared for IOL removal, especially if IOL opacification and dislocation compromise the view or capability to achieve primary retinal reattachment objectives,” the authors said.
Retinal detachment or recurrent retinal detachment was the most common complication following cataract surgery that necessitated vitreoretinal surgery. Other complications included dislocated or decentered IOL, posterior capsular rupture, endophthalmitis, epiretinal membrane, vitreous hemorrhage, proliferative vitreoretinopathy, retained lens fragment, choroidal detachment, pseudophakic bullous keratopathy, hyphema, chronic uveitis and IOL exchange.
Most removed IOLs (59 eyes, 94%) were implanted in the posterior chamber; four (6%) were implanted in the anterior chamber. Five of the removed IOLs were toric and one was multifocal. – by Patricia Nale, ELS
Disclosures: The authors report no relevant financial disclosures.
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