Causes of phakic implantable collamer lens explantation/exchange at king Khaled eye specialist hospital

Nasser A. Alsabaani, Ashley Behrens, Sabah Jastanieah, Salem Al Malki, Mohanna Al Jindan, Saeed Al Motowa

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study is to evaluate the causes of phakic implantable collamer lens (ICL) explantation/exchange at an eye hospital in Saudi Arabia. Materials and Methods: A retrospective chart review was performed for patients who underwent ICL implantation from 2007 to March 2014 and data were collected on cases that underwent ICL explantation. Results: Of the 787 ICL implants, 30 implants (3.8% [95% confidence interval 2.6%; 5.3%]) were explanted. The causes of explantation included incorrect lens size (22), cataract (4), high residual astigmatism (2), rhegmatogenous retinal detachment (1), and intolerable glare (1). Corrective measures mainly included an exchange with an appropriately sized lens (9), ICL explantation (11), with phacoemulsification and posterior chamber intraocular lens implantation (6), or replacement with an ICL of correct power (2). Conclusion: Incorrect ICL size was the most common cause of ICL explantation. More accurate sizing methods for ICL are required to reduce the explantation/exchange rate.

Original languageEnglish (US)
Pages (from-to)293-295
Number of pages3
JournalMiddle East African Journal of Ophthalmology
Volume23
Issue number4
DOIs
StatePublished - Oct 1 2016

Keywords

  • Explantation
  • implantable collamer lens
  • Saudi Arabia

ASJC Scopus subject areas

  • Ophthalmology

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