Intraocular lens complications requiring removal or exchange.


Journal Article (Review)

Intraocular lens (IOL)-related complications are caused primarily by mechanical trauma, inflammatory or infectious complications, or optical problems. Complications may occur at the time of surgery or be the result of an ongoing postoperative process. Mechanical and inflammatory injury may produce corneal decompensation, cystoid macular edema, hyphema, uveitis, and glaucoma, causing reduced vision and in some cases chronic pain. Optical problems may be due to a wrong power of the IOL or to postoperative decentration or dislocation of the lens. Ophthalmologists should be aware of the indications for IOL removal or exchange in those patients who have ongoing IOL-induced injury or impairment. Removal or exchange of an IOL frequently involves a complex decision-making process and is often associated with immense technical challenge. Various medical and surgical treatments may be tried to correct IOL problems before the decision is made to remove or exchange the lens.

Full Text

Duke Authors

Cited Authors

  • Carlson, AN; Stewart, WC; Tso, PC

Published Date

  • March 1, 1998

Published In

Volume / Issue

  • 42 / 5

Start / End Page

  • 417 - 440

PubMed ID

  • 9548571

Pubmed Central ID

  • 9548571

International Standard Serial Number (ISSN)

  • 0039-6257

Digital Object Identifier (DOI)

  • 10.1016/s0039-6257(97)00140-9


  • eng

Conference Location

  • United States