ASCRS Focus on Cataract Surgery | ASCRS
ASCRS Clinical Education

ASCRS Focus on Cataract Surgery

IOL Exchange

August 2020

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 month's 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.

IC-314: Intraocular Lens Exchange

Instructor: Nicole R. Fram, MD
Co-Instructors: Samuel Masket, MD; Sadeer B. Hannush, MD; Steven M. Naids, MD, ABO; Brandon D. Ayres, MD; Zaina Al-Mohtaseb, MD

During this in-depth instructional course from the 2019 ASCRS Annual Meeting, instructors will discuss the indications and methods of intraocular lens exchange. Tools-of-the trade will be demonstrated. Various means of IOL fixation (including scleral and iris suturing) and glued IOL methods will be considered.

View this Instructional Course >>

EyeWorld Article

Challenging Cataract Cases: Guide to refixation and exchange

by Chiles Aedam Samaniego EyeWorld Contributing Writer
An IOL that isn’t where it should be after surgery is a serious complication, but not the end of the world. In these cases, the surgeon may have the option to either refixate or exchange the lens. EyeWorld corresponded with five experts about this...

Read more on EyeWorld.org >>

EyeWorld Article

YES connect: IOL exchange for the young eye surgeon

By Liz Hillman EyeWorld Staff Writer
Patient 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 >>

IC-307: Different Methods for Intraocular Lens Exchange

Instructor: Maria S. Romero, MD
Co-Instructors: Priya Narang, MD; Soon-Phaik Chee, FRCSEd, FRCOphth; Cathleen M. McCabe, MD

During this in-depth instructional course from the 2019 ASCRS Annual Meeting, panelists will review surgical approaches for performing IOL exchange. Topics will include the preoperative evaluation, out-of-the bag IOL dislocation after PCR, IOL exchange to correct refractive surprise, and complex dislocation with different intrascleral fixation techniques. 

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JCRS Article

Visual performance after bilateral toric extended depth-of-focus intraocular lens exchange targeted for micro-monovison

Journal of Cataract & Refractive Surgery: June 22, 2020 - Volume Publish Ahead of Print - Issue -
doi: 10.1097/j.jcrs.0000000000000290

Purpose: To evaluate overall patient satisfaction, spectacle independence, binocular visual acuity, rotational stability, prevalence of optical phenomena, as well as decentration and tilt after bilateral toric extended depth-of-focus intraocular lens (EDOF IOL) implantation targeted for micromonovision.

Read more on the JCRS Website >>

JCRS Article

Refractive outcomes after multifocal intraocular lens exchange

Journal of Cataract & Refractive Surgery: June 2017 - Volume 43 - Issue 6 - p 761-766
doi: 10.1016/j.jcrs.2017.03.034

Purpose: To evaluate the refractive outcomes after multifocal intraocular lens (IOL) exchange.
Method: Patients had multifocal IOL explantation followed by IOL implantation. Outcome measures included type of IOL, surgical indication, corrected distance visual acuity (CDVA), and refractive prediction error.

Read more on the JCRS Website >>

ASCRS Webinar

Management of Secondary IOLs and Dislocated IOL Placement: Yamane Technique Pearls

Moderator: Nicole Fram, MD
Panelists: 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.

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