[Explantation and replacement of intraocular lenses]

to evaluate the reasons for explantation of different types of intraocular lenses.

We studied 27 eyes operated previously for cataract and which developed in postoperative period intraocular induced complication, demanding explantation.

In 51.85% cases we explanted anterior chamber IOL, in 40.74% eyes posterior chamber IOL and in the rest pupillary IOL. Reasons of explantation were according to the artificial lens: in 4 cases for edematous keratopathy, chronic uveitis in 2 eyes and descentration in 8 eyes. Reimplantation was performed at 19 eyes, in 10 cases with standard posterior chamber IOL and in 9 cases with scleral sutured posterior chamber IOL.

The main reason for explantation in anterior chamber IOL is the edematous keratopathy and malpositions for posterior chamber IOL.