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KMID : 0880520080440020099
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Chonnam Medical Journal
2008 Volume.44 No. 2 p.99 ~ p.103
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Surgical Outcomes following Exchange of Opacified Hydrophilic Acrylic Intraocualr Lenses
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Moon Hyung-Jin
Jeong Tae-Sun
You In-Cheon
Yang Kun-Jin
Yoon Kyung-Chul
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Abstract
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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.
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KEYWORD
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Intraoperative complications, Intraocular lens, Results
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