ASCRS Focus on Cataract Surgery | ASCRS
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.

JCRS Article

Intraocular bag-in-the-lens exchange: indications, outcomes, and complications

Journal of Cataract & Refractive Surgery: May 2022 - Volume 48 - Issue 5 - p 568-575
doi: 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 673-678
doi: 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 >>

IC-202 Making IOL Exchange Routine in the Refractive World

Instructors: Lohn Odette, MD, Jason J. Jones, MD

This 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-Director
In 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 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 >>

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.

We use cookies to measure site performance and improve your experience. By continuing to use this site, you agree to our Privacy Policy and Legal Notice.