[Pseudophacos explant: the causes and the functional results]

Area of Science:

• Ophthalmology
• Biomaterials Science

Context:

• Retrospective analysis of 20 pseudophakic explantations from 2605 implantations (1991-1997).
• Explantation interval ranged from 4 days to 7 years post-implantation.

Purpose:

• To analyze causes for pseudophakic explantation.
• To evaluate treatment strategies and functional outcomes after artificial lens removal.

Summary:

• Common explantation reasons included pseudophakic bullous keratopathy, IOL decentration/dislocation, uveitis, and glaucoma.
• Anterior chamber lenses (13) and pupillary implants (4) were explanted.
• Visual acuities post-explantation varied from light perception to 10/10.

Impact:

• Identifies key indications for artificial lens explantation in pseudophakic eyes.
• Correlates specific complications with functional visual outcomes post-explantation.
• Informs clinical decision-making regarding intraocular lens management and explantation necessity.