Multifocal intraocular lens exchange to monofocal for the management of neuroadaptation failure

Al-Shymali, Olena; Barrio, Jorge L. Alió del; McAlinden, Colm; Cantó, Mario; Alió, Jorge L.

doi:10.1186/s40662-022-00311-4

Cited by 8 publications

(8 citation statements)

References 26 publications

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“…If we compare the results of this study with those previously reported in a much smaller series of 5 cases in 2012, where it was found that the main cause for explantation in Spain was IOL dislocation, the present report confirms this finding. However, other different reasons are found in our study such as neuroadaptation failure following MFIOL implantation, a cause that has appeared more recently as a reason for explantation, [26][27][28][29] becoming the third cause of explantation in the second period of our study. In the first decade (2002-2010) there were only 10 cases of explantation related to this cause while in the second decade (2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018)(2019)(2020)(2021) this figure increased to 117 cases.…”

Section: Discussionmentioning

confidence: 68%

Causes of intraocular pseudophakic lens explantation in Spain

Alió,

Barraquer,

Cantó-Cerdán

et al. 2023

European Journal of Ophthalmology

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Purpose To report the causes of pseudophakic intraocular lens (IOL) explantation in Spain over a 20 year period. Methods Multicenter observational prospective study of a consecutive series of cases corresponding to pseudophakic intraocular lenses explantations performed in 22 Spanish clinical centres from 2002 to 2021, within a national clinical research network. The clinical data of all IOL explantation patients was evaluated, and the different causes for IOL explantation were systematically analyzed. Results From a total of 1013 pseudophakic explantations, 919 cases were included in this investigation. The mean age of the patients at the time of explantation was 66.3 years, and 142 (15.45%) were women. Over the 20 years of the study, the five main reasons for explanting lenses in the last 20 years in Spain according to the Iberia RETICS database were: dislocation / decentration / misalignment (43.08%), bullous keratopathy (16.79%), neuroadaptation failure (13.85%), IOL opacification (9.71%), refractive surprise (6.87%). Other causes, less frequent, were uveitis / endophthalmitis / infection with 39 cases (4.25%); IOL substitution for reasons other than multifocal IOL neuroadaptation failure 3 cases (0.33%); and other causes, 47 cases (5.13%). Hydrophobic lenses were the most frequently explanted with a ratio of 47.1%. Conclusions Over the 20 years of the study, the five main reasons for explanting lenses in the last 20 years in Spain according to the Iberia RETICS database were: dislocation / decentration / misalignment, bullous keratopathy, neuroadaptation failure, IOL opacification, and refractive surprise.

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Section: Discussionmentioning

confidence: 68%

Causes of intraocular pseudophakic lens explantation in Spain

Alió,

Barraquer,

Cantó-Cerdán

et al. 2023

European Journal of Ophthalmology

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“…Concomitant DSAEK was performed in patients with clinical edema while IOL explantation was performed when the endothelial cell counts showed a critical decrease. Despite the absence in our series, one emerging indication of IOL exchange is patients' dissatisfaction after multifocal IOL implantation [23,24] We believe that the future trend in our center will also change toward a higher proportion of patients with multifocal IOL exchange as we can see after 2019 in our center.…”

Section: Discussionmentioning

confidence: 73%

“…Despite the absence in our series, one emerging indication of IOL exchange is patients’ dissatisfaction after multifocal IOL implantation [ 23 , 24 ] We believe that the future trend in our center will also change toward a higher proportion of patients with multifocal IOL exchange as we can see after 2019 in our center.…”

Section: Discussionmentioning

confidence: 95%

Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center

et al. 2023

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Purpose To determine the indications and surgical outcomes of intraocular lens (IOL) exchange in pseudophakic patients at Labbafinejad Tertiary Referral Center between 2014 and 2019. Methods In this retrospective interventional case series, the medical records of 193 patients with a history of IOL exchange were reviewed. Preoperative data, including clinical characteristics, indications of the first and second IOL implantation, intra- and postoperative complications due to IOL exchange, and the pre-and postoperative refractive error and best-corrected visual acuity (BCVA) were considered the outcome measures in this study. All postoperative data were analyzed at least six months after follow-up. Results The mean age of our participants was 59.13 ± 20.97 years old at the time of the IOL exchange, with a male percentage of 63.2%. The mean follow-up after the IOL exchange was 15.72 ± 16.28 months. The main indications of IOL exchange were IOL decentration (50.3%), corneal decompensation (30.6%), and residual refractive errors (8.3%). 57.10% of patients with the postoperative spherical equivalent at -2.00 diopter (D) to + 2.00D. The mean best-corrected visual acuity was 0.82 ± 0.76 LogMAR before the IOL exchange and was improved to 0.73 ± 0.79 LogMAR after the surgery. Corneal decompensation (6.2%), glaucoma (4.7%), retinal detachment (4.1%), cystoid macular edema (2.1%), and uveitis (1%) were found as the postoperative complications. There was only one case with suprachoroidal hemorrhage during IOL exchange. Conclusions IOL decentration followed by corneal decompensation was the most common indication of IOL exchange. After IOL exchange, the most complications during follow-up were corneal decompensation, glaucoma, retinal detachment, and cystoid macular edema.

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“…Through the in-depth information mining of many related articles, the study of a discipline's history and development process, and the analysis of the complex cooperative relationship among countries, institutions, and authors, bibliometrics can explore cutting-edge topics in the research eld of interest and predict potential development trends. Despite the e cacy of PIOLs, they still need development because of their many side effects, such as dysphotopsia, halos, glare, and neuroadaptation failure 19,20 . To help researchers understand the history and current research focuses of PIOLs to pursue emerging lines of research more quickly, and to determine possible future development trends, we performed a bibliometric analysis of relevant literature published from January 1, 2000, to November 28, 2022.…”

Section: Introductionmentioning

confidence: 99%

Bibliometric and visual analysis of global research on premium IOLs from 2000 to 2022

Liu

et al. 2023

Preprint

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Background Premium intraocular lenses (PIOLs), particularly those using multifocal, extended depth of focus (EDoF) and toric technologies, have been in clinical use for decades, giving countless cataract patients the ability to see the world clearly again. To explore the development process, research status and future development trends of PIOLs, we explored research on PIOLs from the past 22 years through bibliometrics. Methods The literature search was performed on the Web of Science and included PIOL studies published between 2000 and November 2022. The retrieved literature was collated and analyzed by R-tool's Bibliometrix package, CitNetExplorer, CiteSpace and other software. Results We obtained a total of 1801 articles about PIOLs, most of which were published in Spain and the United States. The organization that published the most articles was the University of Valencia in Spain. Alió JL, and Montés-Micó R, from Spain were the most influential authors in this field. The Journal of Cataract and Refractive Surgery and Journal of Refractive Surgery were the core journals for this field; the top 10 cited articles mainly focus on postoperative satisfaction with multifocal IOLs and postoperative results of toric IOLs. Through a key word analysis, we found that trifocal IOLs, astigmatism and EDoF IOLs are the most discussed topics at present, and the importance of astigmatism and the clinical application of the new generation of PIOL are the emerging research trends. In addition, we found that researchers are not only focusing on the application of cutting-edge technology but also paying increasing attention to patients' subjective satisfaction. Conclusion Bibliometric analysis can effectively help to identify multilevel concerns in premium intraocular lens (PIOL) research and we found that in the past 2 decades, the research of PIOL has made rapid development and gradually matured, countless cataract patients can regain excellent visual quality and improve their quality of life after surgery. The current research hotspots regarding PIOL are the application of EDoF IOL as well as trifocal IOL and its toric models and the development of new types of PIOLs.

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Multifocal intraocular lens exchange to monofocal for the management of neuroadaptation failure

Cited by 8 publications

References 26 publications

Causes of intraocular pseudophakic lens explantation in Spain

Causes of intraocular pseudophakic lens explantation in Spain

Indications and outcomes of intraocular Lens Exchange among pseudophakic eyes in a Tertiary Referral Center

Bibliometric and visual analysis of global research on premium IOLs from 2000 to 2022

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