Articles: PDF OnlyIndications for and results of a large series of intraocular lens exchangesSinskey, Robert M. M.D.a; Amin, Pranav M.D.; Stoppel, Juan O. M.D.Author Information aReprint requests to Robert M. Sinskey, M.D., 2232 Santa Monica Boulevard, P.O. Box 4031, Santa Monica, California 90404-0031. Journal of Cataract & Refractive Surgery: January 1993 - Volume 19 - Issue 1 - p 68-71 doi: 10.1016/S0886-3350(13)80285-4 Free Metrics Abstract We conducted a retrospective review of 79 patients who had intraocular lens (IOL) explantation and exchange over a 12-year period. Seventy-nine eyes of 40 males and 39 females from 17 to 94 years of age were followed from three months to more than 12 years. Sixty-one percent (61%) were posterior chamber lenses and 39% were anterior chamber lenses replaced by 76% posterior chamber and 24% anterior chamber lenses. The indications for lens exchange were eccentric or displaced IOL (41.7%), endothelial decompensation (27.7%), incorrect IOL power (12.6%), and uveitis-glaucoma-hyphema syndrome (10.0%). Analysis of the clinical results revealed that 72% of the cases had postoperative visual acuity better than or equal to 20/30, and 8% had a loss of one or more lines of visual acuity. Among the complications occurring after IOL exchange were retinal detachment, glaucoma, corneal decompensation, and anisometropia. © Williams & Wilkins 1993. All Rights Reserved.