Evolution of IOL exchange. Part 2. Modern problems of IOL exchange

Yusef Yu.N.; Yusef S.N.; Ivanov M.N.; Vvedenskiy A.S.; Fokina N.D.; Alkharki L.; Shkolyarenko N.Yu.

doi:https://doi.org/10.17116/oftalma2020136052254

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Abstract:

The review discusses modern problems of intraocular lens (IOL) exchange. Making an adequate choice between IOL reposition and IOL exchange in pseudophakic patients with problems of lens fixation remains a largely unsolved issue. The literature data shows a noticeable increase in the number of supporters of retropupillary fixation of an iris-claw lens during the exchange procedure.

Keywords:

cataract

pseudophakia

intraocular lens (IOL)

IOL exchange

IOL fixation

Authors:

Yusef Yu.N.

Krasnov Research Institute of Eye Diseases;
I.M. Sechenov First Moscow State Medical University (Sechenov University)

SPIN RSCI: 6891-6138
Scopus AuthorID: 57192982029
ResearcherID: AAN-1722-2021
ORCID: 0000-0003-4043-456X

Yusef S.N.

Krasnov Research Institute of Eye Disease

ORCID: 0000-0003-0486-7819

Ivanov M.N.

Krasnov Research Institute of Eye Disease

ORCID: 0000-0002-2001-9310

Vvedenskiy A.S.

Krasnov Research Institute of Eye Disease

ORCID: 0000-0002-8134-8089

Fokina N.D.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Alkharki L.

Krasnov Research Institute of Eye Diseases

SPIN RSCI: 6489-3529
Scopus AuthorID: 57210715970
ORCID: 0000-0001-6791-4219

Shkolyarenko N.Yu.

Research Institute of Eye Diseases

ORCID: 0000-0003-4899-174X

Received:

16.12.2019

Accepted:

25.02.2020

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References:

Voronin GV, Yusef YuN, Yusef SN, Avetisov KS, Vvedenskiy AS, Shkolyarenko NYu, Reznikova EV, Alkhumidi K, Fokina ND. Results of secondary retropupillary-fixated intraocular lens implantation. Vestnik oftal’mologii. 2018;134(6):41-45. (In Russ.). https://doi.org/10.17116/oftalma201813406141
Yusef YuN, Yusef SN, Avetisov KS, Vvedenskiy AS, Shkolyarenko NYu, Reznikova EV, Alkhumidi K. Surgical technique of retropupillary iris-claw fixated IOL reimplantation. Vestnik oftal’mologii. 2018;134(3):95-98. (In Russ.). https://doi.org/10.17116/oftalma2018134395
de Rojas MV, Viña S, Gestoso A, Simón P, Álvarez M. Intraocular lens explantation in Spain: indications and outcomes at a tertiary referral center from 2010 to 2018. Int Ophthalmol. 2019 Sep 29. https://doi.org/10.1007/s10792-019-01181-x
Dalby M, Kristianslund O, Drolsum L Long-term outcomes after surgery of late in-the-bag intraocular lens dislocation: a randomized clinical trial. Am J Ophthalmol. 2019;pii: S0002-9394(19)30265-X. https://doi.org/10.1016/j.ajo.2019.05.030
Yusef YuN, Yusef SN, Avetisov KS, Vvedenskiy AS. Technique for surgical repositioning of in-the-bag dislocated intraocular lenses. Vestnik oftal’mologii. 2016;132(1):53-56. (In Russ.). https://doi.org/10.17116/oftalma2016132153-56
Jakobsson G, Zetterberg M, Sundelin K, Stenevi U Surgical repositioning of intraocular lenses after late dislocation:complications and visualoutcomes. J Cataract Refract Surg. 2013;39(12):1879-1885. https://doi.org/10.1016/j.jcrs.2013.06.023
Kumar DA, Agarwal A, Jacob S, Agarwal A Glued trans-scleral intraocular lens exchange for anterior chamber lenses in complicated eyes: analysis of indications and results. Am J Ophthalmol. 2013;156(6):1125-1133. https://doi.org/10.1016/j.ajo.2013.07.013
Yang S, Nie K, Jiang H, Feng L, Fan W. Surgical management of intraocular lens dislocation: A metaanalysis. PLoS One. 2019;14(2):e0211489. https://doi.org/10.1371/journal.pone.0211489
Wolter-Roessler M, Küchle M. Correction of aphakia with retroiridally fixated IOL. Klin Monbl Augenheilkd. 2008;225(12):1041-1044. https://doi.org/10.1055/s-2008-1027721
Avetisov SE, Ambartsumyan AR, Avetisov KS. Diagnostic capabilities of ultrasound biomicroscopy in phaco surgery. Vestnik oftal’mologii. 2013;129(5): 32-41. (In Russ.).
Jones JJ, Jones YJ, Jin GJ. Indications and outcomes of intraocular lens exchange during arecent 5-year period. Am J Ophthalmol. 2014;157(1):154-162. https://doi.org/10.1016/j.ajo.2013.08.019
Oltulu R, Erşan İ, Şatırtav G, Donbaloglu M, Kerimoğlu H, Özkağnıcı A. Intraocular lens explantation or exchange: indications,postoperative interventions, and outcomes. Arq Bras Oftalmol. 2015;78(3):154-157. https://doi.org/10.5935/0004-2749.20150040
Jehan FS, Mamamlis N, Crandall AS. Spontaneous late dislocation of intraocular lens within the capasular bag in pseudoexfolliation patients. Ophthalmology. 2001;108:1727-1731. https://doi.org/10.1016/s0161-6420(01)00710-2
Scherer M, Bertelmann E, Rieck P. Late spontaneous in-the-bag intraocular lens and capsulartension ring dislocation in pseudoexfoliation syndrome. J Cataract Refract Surg. 2006;32(4):672-675. https://doi.org/10.1016/j.jcrs.2006.01.041
Davis D, Brubaker J, Espandar L, Stringham J, Crandall A, Werner L, Mamalis N. Late in-the-bag spontaneous intraocular lens dislocation: evaluation of 86 consecutive cases. Ophthalmology. 2009;116:664-670. https://doi.org/10.1016/j.ophtha.2008.11.018
Jakobsson G, Zetterberg M, Lundström M, Stenevi U, Grenmark R, Sundelin K. Late dislocation of in-the-bag and out-of-the bag intraocular lenses: ocular and surgical characteristics and time to lens repositioning. J Cataract Refract Surg. 2010;36(10):1637-1644. https://doi.org/10.1016/j.jcrs.2010.04.042
Srinivasan S. In-the-bag intraocular lens dislocation: A ticking time bomb. J Cataract Refract Surg. 2019;45(3):259-260. https://doi.org/10.1016/j.jcrs.2019.02.004
Gonnermann J, Klamann MK, Maier AK, Rjasanow J, Joussen AM, Bertelmann E, Rieck PW, Torun N. Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation. J Cataract Refract Surg. 2012;38(12):2139-2143. https://doi.org/10.1016/j.jcrs.2012.07.035
Jare N, Kesari A, Gadkari S, Deshpande M. The posterior iris-claw lens outcome study: 6 month follow-up. Indian J Ophthalmol. 2016;64(12):878-883. https://doi.org/10.4103/0301-4738.198843
Davies EC, Pineda R. Intraocular lens exchange surgery at a tertiary referral center: Indications, complications, and visual outcomes. J Cataract Refract Surg. 2016;42(9):1262-1267. https://doi.org/10.1016/j.jcrs.2016.06.031
Lee MH, Webster DL. Intraocular lens exchange-removing the optic intact. Int J Ophthalmol. 2016;9(6):925-928. https://doi.org/10.18240/ijo.2016.06.23
Brockmann T, Gonnermann J, Brockmann C, Joussen A, Bertelmann E. Morphologic alterations on posterior iris-claw intraocular lenses after traumatic disenclavation. Br J Ophthalmol. 2014;98:1303-1307. https://doi.org/10.1136/bjophthalmol-2014-305364.
Forlini M, Soliman W, Bratu A, Rossini P, Cavallini G, Forlini C. Long-term follow-up retropupillary iris-claw intraocular lens implantation: a retrospective analysis. BMC Ophthalmol. 2015;15:143. https://doi.org/10.1186/s12886-015-0146-4
Tong N, Liu F, Zhang T, Wang L, Zhou Z, Gong H, Yuan F. Pigment dispersion syndrome and pigmentary glaucoma after secondary sulcus transscleral fixation of single-piece foldable posterior chamber intraocular lenses in Chinese aphakic patients J Cataract Refract Surg. 2017;43(5):639-642. https://doi.org/10.1016/j.jcrs.2017.02.026
Dimopoulos S, Dimopoulos V, Blumenstock G, Trevono-Rodrigez H, Bartz-Schmidt K, Spitzer M, Voykov B. Long-term outcome of scleral-fixated posterior chamber intraocular lens implantation with knotless Z-suture technique. J Cataract Refract Surg. 2018;44(2):182-185. https://doi.org/10.1016/j.jcrs.2017.11.009
Mastropasqua L, Lobefalo L, Gallenga PE. Iris chafing in pseudophakia. Doc Ophthalmol. 1994;87(2):139-44. PMID:7835182
https://doi.org/10.18008/1816-5095-2017-4-291-298 https://doi.org/10.18008/1816-5095-2017-4-291-298
Frolov MA, Kumar V, Isufai E, Dzhumova AA. Rehabilitation of patients with intraocular lens dislocation by implanting iris-claw IOL in retropupillary space. Oftal’mologija. 2010;7(3):18-21. (In Russ.).
Voronin GV, Mamikonyan VR, Kharlap SI, Mashkova NA. Artisan iris-clow IOL implantation in cases of bilateral lens luxation into the vitreous body. Vestnik oftal’mologii. 2014;130(4):81-87. (In Russ.).
Peralba R, Lamas-Francis D, Sarandeses T, Martinez-Perez L, Rodrigues-Ares T. Iris-claw intraocular lens for aphakia: Can location influence the final outcomes? J Cataract Refract Surg. 2018;44(7):818-826. https://doi.org/10.1016/j.jcrs.2018.05.010
Hirashima DE, Soriano ES, Meirelles RL, Alberti GN, Nosé W. Outcomes of iris-claw anterior chamber versus iris-fixated foldable intraocular lens in subluxated lens secondary to Marfan syndrome. Ophthalmology. 2010;117(8): 1479-1485. https://doi.org/10.1016/j.ophtha.2009.12.043
Agarwal A, Kumar DA, Jacob S, Baid C, Agarwal A, Srinivasan S. Fibrin glue — assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules. J Cataract Refract Surg. 2008;34: 1433-1438. https://doi.org/10.1016/j.jcrs.2008.04.040
Agarwal A, Jacob S, Kumar DA, Agarwal A, Narasimhan S, Agarwal A. Handshake technique for glued intrascleral haptic fixation of a posterior chamber intraocular lens. J Cataract Refract Surg. 2013;39:317-322. https://doi.org/10.1016/j.jcrs.2013.01.019
Verstappen M, Pion B. Glued intraocular lens implantation: A three-year retrospective analysis at two hospitals in Brussels, Belgium. J Fr Ophtalmol. 2019;42(9):962-967. https://doi.org/10.1016/j.jfo.2019.05.012
Jin GJ, Crandall AS, Jones JJ. Intraocular lens exchange due to incorrect lens power. Ophthalmology. 2007;114(3):417-424. https://doi.org/10.1016/j.ophtha.2006.07.041
Tassignon MJ, Bartholomeeusen E, Rozema JJ, Jongenelen S, Mathysen DG. Feasibility of multifocal intraocular lens exchange andconversion to the bag-in-the-lens implantation. Acta Ophthalmol. 2014;92(3):265-269. https://doi.org/10.1111/aos.12093
Fernández-Buenaga R, Alió JL. Intraocular Lens Explantation After Cataract Surgery: Indications, Results, and Explantation Techniques. Asia Pac J Ophthalmol (Phila). 2017;6(4):372-380. https://doi.org/10.22608/APO.2017181
Moustafa B, Häberle H, Wirbelauer C, Pham DT. Refractive long-term results after piggyback intraocular lens Implantation. Ophthalmologe. 2007; 104(9):790-794. https://doi.org/10.1007/s00347-007-1563-4
Alio JL, Abdelghany AA, Fernández-Buenaga R. Management of residual refractive error after cataract surgery. Opin Ophthalmol. 2014;25(4):291-297. https://doi.org/10.1097/ICU.0000000000000067
Cassagne M, Porterie M, Gauthier L, Chapotot E, Soler V, Malecaze F, Fournié P. Primary sulcus implantation of a diffractive multifocal pseudophakic piggyback intraocular lens. J Cataract Refract Surg. 2018;44(3):266-273. https://doi.org/10.1016/j.jcrs.2017.11.019
Gundersen KG, Potvin R. A review of results after implantation of a secondary intraocular lens to correct residual refractive error after cataract surgery. Clin Ophthalmol. 2017;11:1791-1796. https://doi.org/10.2147/OPTH.S144675
Kamiya K, Shimizu K, Igarashi A, Kitazawa Y, Kojima T, Nakamura T, Ichikawa K. Piggyback implantable collamer lens implantation for the correction of residual refractive errors after cataract surgery: a multicenter study. Acta Ophthalmol. 2019;97(6):946-947. https://doi.org/10.1111/aos.13937
Hassan AH, Sayed KM, El Agooz M, Elhawary AM. Refractive Results: Safety and Efficacy of Secondary PiggybackSensar™ AR40 Intraocular Lens Implantation to Correct Pseudophakic Refractive Error. J Ophthalmol. 2016; 4505812. https://doi.org/10.1155/2016/4505812
Barnett V, Barsam A, Than J, Srinivasan S. Small-aperture intraocular lens combined with secondary piggyback intraocular lens during cataract surgery after previous radial keratotomy. J Cataract Refract Surg. 2018;44(8):1042-1045. https://doi.org/10.1016/j.jcrs.2018.06.005
Elhofi A, Helaly HA, Said A. Comparison between Refractive Outcome of Primary Piggyback Intraocular Lens versus Secondary Lens Iris Claw Lens in Posterior Microphthalmos. J Ophthalmol. 2019;1356982. https://doi.org/10.1155/2019/1356982
Hong Y, Sun YX, Qi H, Zhou JC, Hao YS. Pigment dispersion glaucoma induced by the chafing effect of intraocular lens haptics in Asian eyes. Curr Eye Res. 2013;38(3):358-362. https://doi.org/10.3109/02713683.2012.749502
Rabie HM, Esfandiari H, Rikhtegar MH, Hekmat V. Management of sulcus-fixated single-piece intraocular lens induced pigmentary glaucoma with 3-piece IOL exchange. Int Ophthalmol. 2018;38(1):145-150. https://doi.org/10.1007/s10792-016-0435-9
Senthil S, Grover IG. In-the-bag multifocal intraocular lens causing pigment dispersion and refractory secondary ocular hypertension. Indian J Ophthalmol. 2018;66(9):1339-1341. https://doi.org/10.4103/ijo.IJO_198_18
Roland S, Khoramnia R, Auffarth GU, Son HS, Yildirim TM, Schoenherr U. Opacification of hydrophilic intraocular lens after multiple injections of bevacizumab. Ophthalmologe. 2019;116(9):882-886. https://doi.org/10.1007/s00347-018-0829-3
Dick HB, Tehrani M, Brauweiler P, Haefliger E, Neuhann T, Scharrer A. Complications of foldable intraocular lenses requiring explantation. Ophthalmologe. 2003;100(6):465-470. PMID:12820014
Gamidov AA, Fedorov AA, Novikov IA, Kas’yanov AA, Siplivyy VI. Analyzing causes for opacification of acrylic IOLs. Vestnik oftal’mologii. 2015; 131(3):64-70. (In Russ.). https://doi.org/10.17116/oftalma2015131364-70
Mojzis P, Studeny P, Werner L, Piñero DP. Late opacification of a hydrophilic acrylic intraocular lens in Europe. Eur J Ophthalmol. 2016;15:26(2):24-26. https://doi.org/10.5301/ejo.5000704
Richter-Mueksch S, Kahraman G, Amon M, Schild-Burggasser G, Schauersberger J, Abela-Formanek C. Uveal and capsular biocompatibility after implantation of sharpedged hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in eyes with pseudoexfoliation syndrome. J Cataract Refract Surg. 2007;33(8):1414-1418. https://doi.org/10.1016/j.jcrs.2007.05.009
Abela-Formanek C, Amon M, Kahraman G, Schauersberger J, Dunavoelgyi R. Biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in eyes with uveitis having cataract surgery: Long-term follow-up. J Cataract Refract Surg. 2011;37(1):104-112. https://doi.org/10.1016/j.jcrs.2010.07.038
Tomlins PJ, Sivaraj RR, Rauz S, Denniston AK, Murray PI. Long-term biocompatibility and visual outcomes of a hydrophilic acrylic intraocular lens in patients with uveitis. J Cataract Refract Surg. 2014;40(4):618-625. https://doi.org/10.1016/j.jcrs.2013.09.013
Abdalla Elsayed MEA, Ahmad K, Al-Abdullah AA, Malik R, Khandekar R, Martinez-Osorio H, Mura M, Schatz P. Incidence of Intraocular Lens Exchange after Cataract Surgery. Sci Rep. 2019;9(1):12877. https://doi.org/10.1038/s41598-019-49030-2
Lin CL, Wang AG, Chou JC, Shieh G, Liu JH. Heparin-surface-modified intraocular lens implantation in patients with glaucoma, diabetes, or uveitis. J Cataract Refract Surg. 1994;20(5):550-553. https://doi.org/10.1016/s0886-3350(13)80236-2
Alió JL, Chipont E, BenEzra D, Fakhry MA. Comparative performance of intraocular lenses in eyes with cataract and uveitis. J Cataract Refract Surg. 2002;28(12):2096-2108. https://doi.org/10.1016/s0886-3350(02)01452-9
Krall EM, Arlt EM, Jell G, Strohmaier C, Bachernegg A, Emesz M, Grabner G, Dexl AK. Intraindividual aqueous flare comparison after implantation of hydrophobic intraocular lenses with or without a heparincoatedsurface. J Cataract Refract Surg. 2014;40(8):1363-1370. https://doi.org/10.1016/j.jcrs.2013.11.043
Huang Q, Cheng GP, Chiu K, Wang GQ. Surface Modification of Intraocular Lenses. Chin Med J (Engl). 2016;129(2):206-214. https://doi.org/10.4103/0366-6999.173496
De Silva S, Arun K, Anandan M, Glover N, Patel C, Rosen P. Iris-claw intraocular lenses to correct aphakia in the absence of capsule support. J Cataract Refract Surg. 2011;37(9):1667-1672. https://doi.org/10.1016/j.jcrs.2011.03.051
Narang P, Agarwal A, Kumar DA. Glued intraocular lens scaffolding for Soemmerring ring removal in aphakia with posterior capsule defect. J Cataract Refract Surg. 2015;41(4):708-713. https://doi.org/10.1016/j.jcrs.2015.02.020