ASCRS Clinical Education
ASCRS Focus on Cataract Surgery
IOL Exchange
June 2022 Update
There may be situations after cataract surgery that result in an unhappy patient, such as a suboptimal refractive outcome or a dislocated IOL. In these situations, it may be necessary to perform an IOL exchange in order to achieve the patient's desired outcomes.
In this updated ASCRS Focus on Cataract surgery, explore educational resources about the decision to perform an IOL exchange as well as surgical demonstrations of a variety of IOL exchange techniques.
In-Depth IOL Exchange Courses
Courses are 90-minute instructional sessions that include Q&A time and interactive discussion among the instructors and audience. View these in-depth courses on IOL exchange from the 2022 and 2021 ASCRS Annual Meetings.
Session
IC-107 IOL Exchange Techniques and Surgical Pearls
Maria S. Romero, MD, ABO 1:37:05 minutes
April 2022
Session
IC-301 Intraocular Lens Exchange
Nicole R. Fram, MD, ABO; Brandon D. Ayres, MD, ABO; Thomas A. Oetting, MD Zaina Al-Mohtaseb, MD, ABO 1:30:57 minutes
April 2022
Session
IC-208 Intraocular Lens Exchange
Nicole Fram, MD 1:35:54 minutes
July 2021
Session
IC-317 Different Surgical Approaches for Intraocular Lens Exchange
Maria S. Romero, MD 1:12:36 minutes
July 2021
JCRS Article
Intraocular bag-in-the-lens exchange: indications, outcomes, and complications
Journal of Cataract & Refractive Surgery: May 2022 - Volume 48 - Issue 5 - p 568-575doi: 10.1097/j.jcrs.0000000000000787
Purpose: To report the indications, outcomes, and complications regarding bag-in-the-lens (BIL) intraocular lens (IOL) exchange over a period of 13 years in a tertiary ophthalmologic center.
Read more on the JCRS Website >>
JCRS Article
Diffractive optic intraocular lens exchange: indications and outcomes
Journal of Cataract & Refractive Surgery: June 2022 - Volume 48 - Issue 6 - p 673-678doi: 10.1097/j.jcrs.0000000000000815
Purpose: To assess indications and outcomes of surgical exchange of diffractive optic multifocal and extended depth-of-focus intraocular lenses (IOLs) in favor of monofocal IOLs.
Read more on the JCRS Website >>
IOL Exchange
Sugical Technique
Explore videos outlining the variety of surgical techniques associated with IOL exchange.
IC-202 Making IOL Exchange Routine in the Refractive World
Instructors: Lohn Odette, MD, Jason J. Jones, MDThis 2021 instructional course will help teach participants the best approaches to easily complete an IOL exchange. It will start with basic/simple IOL exchanges and progress to more advanced techniques for difficult exchanges. It will help participants gain confidence in IOL exchange techniques and pearls to making the difficult become routine.
View this Instructional Course >>
EyeWorld Article
Pearls for refixating and exchanging IOLs
by Ellen Stodola, Editorial Co-DirectorIn some cases, it may be necessary to refixate or remove an IOL after cataract surgery. Several surgeons discussed how they determine when this course of action is needed and techniques they use.
When you have a patient with a dislocated lens-bag complex, there are a variety of factors to consider, said Steve Safran, MD...
Read more on EyeWorld.org >>
EyeWorld Article
YES connect: IOL exchange for the young eye surgeon
By Liz Hillman EyeWorld Staff WriterPatient expectations for cataract surgery are growing at a feverish pace. While the tools to deliver exceptional refractive outcomes are also increasing, there will inevitably be unhappy patients with suboptimal outcomes along the way. Current solutions include excimer corneal ablation, IOL exchange/reposition, and piggyback lenses...
Read more on EyeWorld.org >>
ASCRS Film Festival
View these surgical films on IOL exchange presented at the 2022 and 2021 ASCRS Film Festivals.
Video
Film 81762: "Help, I'm Falling!" - Saving the Dislocated or Subluxed Intraocular Lens
Winston Chamberlain, MD, PhD, ABO; Travis Redd, MD, MPH; Richard Stutzman, MD, ABO; Priscilla Vu, MD, MS 07:08 minutes
April 2022
Video
Film 80113: Exchange of Opacified IOL
Hani Nasr, MD 05:07 minutes
April 2022
Video
Film 82211: Quadrisection and IOL Exchange through a 2.2 MM Incision
Abhijeet Desai, FRCSEd; Ankita Mulchandani, DNB, MBBS 07:52 minutes
April 2022
Video
Multifocal IOL Explant: How to Perform It
Lucio Buratto, MD 05:45 minutes
July 2021
ASCRS Webinar
Management of Secondary IOLs and Dislocated IOL Placement: Yamane Technique Pearls
Moderator: Nicole Fram, MDPanelists: Mitchell Weikert, MD, Brandon Ayres, MD, and Steve Safran, MD
Have you had a patient with a damaged posterior capsule, weakened zonule, or dislocated IOL? Then you might be interested in learning more about intrascleral haptic fixation, IOL exchange and the Yamane technique.