دورية أكاديمية
Early intraocular lens explantations: 10-year database analysis.
| العنوان: | Early intraocular lens explantations: 10-year database analysis. |
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| المؤلفون: | Friedrich M; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Son HS; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Hassel O; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Teich L; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Augustin VA; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Khoramnia R; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Auffarth GU; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany., Yildirim TM; Department of Ophthalmology, The David J Apple Center for Vision Research, University of Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Germany. Timur.Yildirim@med.uni-heidelberg.de. |
| المصدر: | BMC ophthalmology [BMC Ophthalmol] 2024 Jul 22; Vol. 24 (1), pp. 300. Date of Electronic Publication: 2024 Jul 22. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967802 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2415 (Electronic) Linking ISSN: 14712415 NLM ISO Abbreviation: BMC Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Device Removal* , Lenses, Intraocular*/adverse effects , Databases, Factual*, Humans ; Retrospective Studies ; Cross-Sectional Studies ; Female ; Male ; Middle Aged ; Aged ; Postoperative Complications/epidemiology ; Lens Implantation, Intraocular ; Time Factors ; Adult ; Prosthesis Failure ; Intraoperative Complications/epidemiology ; Visual Acuity ; Aged, 80 and over |
| مستخلص: | Background: The aim of this study was to analyze the causes and characteristics of IOL explantation within the first year after primary implantation. Methods: In this retrospective, cross sectional database study, a database consisting of over 2500 IOL explants sent from 199 national and international doctors over the past 10 years was analyzed. All IOLs explanted within the first year after implantation were included in this analysis. Explants with insufficient information as well as phakic and Add-on IOLs were excluded. Main outcome measures were the reason for explantation, the time between implantation and explantation, as well as IOLs' and patients' characteristics. Additionally, the explanted IOLs were microscopically and histologically analyzed, as required. Results: Of all explanted IOLs from the database, 1.9% (n = 50) were explanted within the first year after implantation. The most frequent reasons for early IOL explantation were IOL dislocation (32%), visual intolerance (26%), opacification (20%), and intraoperative complications (16%). The time between implantation and explantation was the shortest in cases with intraoperative complications (1.5 ± 3.1 days), followed by IOL dislocation (90.9 ± 103.9 days), visual intolerance (98.3 ± 86.5 days), opacifications (253.5 ± 124.0 days) and other indications (249.7 ± 124.0 days). Calcification of hydrophilic IOLs was the main type of opacification (80%). Notably, seven IOLs required immediate intraoperative exchange due to an intraoperative crack in the optic or a torn off haptic. Conclusion: Indications for early IOL explantation were IOL dislocation, visual intolerance, opacification, and intraoperative complications. Especially intraoperative damages to the IOL and early calcification show a potential for improvement of affected IOLs and implantation systems. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Cataract; Complication; IOL exchange; Intraocular lens; Intraoperative; Surgery |
| تواريخ الأحداث: | Date Created: 20240722 Date Completed: 20240723 Latest Revision: 20240722 |
| رمز التحديث: | 20240723 |
| DOI: | 10.1186/s12886-024-03570-y |
| PMID: | 39039537 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1471-2415 |
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| DOI: | 10.1186/s12886-024-03570-y |