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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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ORIGINAL ARTICLE
Year : 2016  |  Volume : 23  |  Issue : 4  |  Page : 293-295

Causes of phakic implantable collamer lens explantation/exchange at king Khaled eye specialist hospital


1 Department of Ophthalmology, College of Medicine, King Khalid University, Abha, Saudi Arabia
2 King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
3 King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
4 Dammam University, Dammam, Saudi Arabia

Correspondence Address:
Nasser A AlSabaani
Department of Ophthalmology, College of Medicine, King Khalid University, P. O. Box 641, Abha 61421

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.194076

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Purpose: The purpose of this study is to evaluate the causes of phakic implantable collamer lens (ICL) explantation/exchange at an eye hospital in Saudi Arabia. Materials and Methods: A retrospective chart review was performed for patients who underwent ICL implantation from 2007 to March 2014 and data were collected on cases that underwent ICL explantation. Results: Of the 787 ICL implants, 30 implants (3.8% [95% confidence interval 2.6%; 5.3%]) were explanted. The causes of explantation included incorrect lens size (22), cataract (4), high residual astigmatism (2), rhegmatogenous retinal detachment (1), and intolerable glare (1). Corrective measures mainly included an exchange with an appropriately sized lens (9), ICL explantation (11), with phacoemulsification and posterior chamber intraocular lens implantation (6), or replacement with an ICL of correct power (2). Conclusion: Incorrect ICL size was the most common cause of ICL explantation. More accurate sizing methods for ICL are required to reduce the explantation/exchange rate.


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