Indications for and results of intraocular lens explantation

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Abstract
), followed by iris-fixated lenses (33.7%). The most common indications for surgery included pseudophakic bullous keratopathy (PBK)—69%, uveitisglaucoma-hyphema (UGH) syndrome—9%, and 101, instability—7%. The best visual outcome was seen in patients with IOL instability; 50% achieved 20/40 or better visual acuity. Forty one percent of patients with PBK, who had IOL explantation/exchange combined with penetrating keratoplasty, achieved 20/40 or better visual acuity. The poorest visual outcome was seen in patients with the UGH syndrome; 83% had a final acuity of 20/200 or worse. However, these patients achieved resolution of their pain and inflammation and better control of their intraocular pressure as a result of the surgery. Complications leading to IOL explantation tended to occur months to years after the original surgery in patients with closed-loop, semi-flexible anterior chamber lenses and iris-fixated lenses. Posterior chamber lenses were most often removed because of complications unrelated to the implant. aReprint requests to George A. Stern, M. D., Department of Ophthalmology, University of Florida College of Medicine, Box J-284 JHMHC, Gainesville, Florida 32610-0284. Supported in part by an unrestricted departmental grant from Research to Prevent Blindness, Inc. © Williams & Wilkins 1992. All Rights Reserved....