From the University of Utah School of Medicine, Salt Lake City, Utah (Renschler, Kelkar, Eid, Hawn, Bundogji, Werner, Mamalis); Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah (Kelkar, Eid, Hawn, Bundogji, Werner, Mamalis).
J Cataract Refract Surg. 2024 Apr 1;50(4):394-400. doi: 10.1097/j.jcrs.0000000000001371.
To assess the complications that resulted in the explantation or secondary intervention with foldable intraocular lenses (IOLs).
University setting, Salt Lake City, Utah.
Survey study.
For the 25th consecutive year, surgeons were surveyed regarding complications associated with foldable IOLs requiring explantation or secondary intervention over the 2022 calendar year. These forms were made available online using the ASCRS and ESCRS websites and a fax-on-demand service. Surgeons completed 1 survey for each foldable IOL requiring explantation or secondary intervention. Further analysis determined complication trends related to specific IOL styles, materials, and types over the past 16 years (2007 to 2022).
103 completed surveys were returned in 2022 contributing to a total of 1627 tabulated surveys since 2007. In the 2022 survey, dislocation/decentration continued to be the most common complication overall. Glare/optical aberrations was a common complication associated with multifocal IOLs continuing a 16-year trend. In addition, hydrophilic acrylic IOLs as well as some silicone lenses in eyes with asteroid hyalosis demonstrated calcification as the most common complication necessitating explantation.
Dislocation/decentration remains the leading cause of explantation in most IOL types. Glare/optical aberrations continue to be an associated complication of multifocal IOLs suggesting this ongoing issue has yet to be resolved with this type of IOL. In addition, calcification of hydrophilic acrylic lenses and silicone lenses is a rare event but continues to occur.
评估导致折叠式人工晶状体（IOL）取出或二次干预的并发症。
犹他州盐湖城的大学环境。
调查研究。
连续第 25 年，对与 2022 年日历年内需要取出或二次干预的折叠式 IOL 相关的并发症进行调查。这些表格通过 ASCRS 和 ESCRS 网站以及传真按需服务在线提供。外科医生为每个需要取出或二次干预的折叠式 IOL 填写 1 份表格。进一步的分析确定了过去 16 年来（2007 年至 2022 年）与特定 IOL 样式、材料和类型相关的并发症趋势。
2022 年共收回 103 份完整的调查问卷，自 2007 年以来总计有 1627 份已制表的调查问卷。在 2022 年的调查中，脱位/离焦仍然是最常见的总体并发症。眩光/光学像差是多焦点 IOL 的常见并发症，这一趋势已经持续了 16 年。此外，亲水性丙烯酸 IOL 以及在星状白内障眼中的一些硅胶镜片，以钙化作为最常见的需要取出的并发症。
在大多数 IOL 类型中，脱位/离焦仍然是取出的主要原因。眩光/光学像差仍然是多焦点 IOL 的相关并发症，这表明该类型的 IOL 尚未解决这一持续存在的问题。此外，亲水性丙烯酸镜片和硅胶镜片的钙化是一种罕见事件，但仍在继续发生。
