ArticleJournal of cataract and refractive surgery2024
Surgical implications in intraocular lens exchange with an open posterior capsule: a retrospective case series and review of the literature.
Article in Journal of cataract and refractive surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Barrett RX tool for intraocular lens power calculation in pseudophakic eyes undergoing intraocular lens exchange.Journal of cataract and refractive surgery · 2025Article
- Bilateral implantation of a non-diffractive extended depth of focus intraocular lens in a pediatric patient with lamellar cataract.International ophthalmology · 2025Article
- Treatments for Presbyopia.Deutsches Arzteblatt international · 2025Review
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine characteristics and differences in intraocular lens (IOL) exchange between eyes with an open (OPC) and closed posterior capsule (CPC).
settingDepartment of Ophthalmology, Goethe-University, Frankfurt, Germany.
designRetrospective case series and review of literature.
methodsCharts of all cases of IOL exchange between January 2010 and May 2024 were retrospectively reviewed. Main outcome measures were indications for surgery, IOL implantation technique, and the necessity of anterior vitrectomy. MEDLINE database and Google scholar were used to identify relevant past publications.
resultsWe included 37 eyes of 30 patients with a mean age of 62.1 ± 10.2 years, with 16 eyes (43.2%) with OPC undergoing IOL exchange. Mean interval between IOL implantation and IOL exchange was 61.50 ± 62.00 months in the OPC group and 15.81 ± 15.03 months in the CPC group. The most common indication was optical phenomena in 18 cases (48%). In the OPC group, intraoperative anterior vitrectomy was necessary twice as often (OPC nine cases (56%) vs. CPC five cases (24%)). Bag-to-bag IOL exchange was performed in all eyes with CPC, and in 10/16 (62%) with OPC (p=0.009). Postoperative complications were seen in a total of 7/16 eyes (43.7%) with OPC and 3/21 (14.3%) with CPC (p=0.012).
conclusionThe success rate of repositioning an IOL within a bag with OPC is less than that achieved with CPC. A vitrectomy is typically required when attempting a bag-to-bag IOL exchange with an OPC. Capsulotomy should only be performed if the necessity of an IOL exchange is unlikely.
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Registered trials
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