Incidence of Intraocular Lens Exchange after Cataract Surgery

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Abdalla Elsayed, Maram E.A.Jeddah Eye Hospital (författare)

Incidence of Intraocular Lens Exchange after Cataract Surgery

Artikel/kapitelEngelska2019

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2019-09-09
Springer Science and Business Media LLC,2019

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LIBRIS-ID:oai:lup.lub.lu.se:4cf331ee-42f1-418f-8f39-b1aba41cd9ee
https://lup.lub.lu.se/record/4cf331ee-42f1-418f-8f39-b1aba41cd9eeURI
https://doi.org/10.1038/s41598-019-49030-2DOI

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Språk:engelska
Sammanfattning på:engelska

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Intraocular lens (IOL) exchange after cataract surgery is unusual but may be associated with suboptimal visual outcome. The incidence of IOL exchange has not been consistently estimated. Such information is invaluable when counseling patients prior to cataract surgery. We examined the incidence of, and indications and risk factors for, IOL exchange after cataract surgery. We also assessed visual outcome of eyes that had an IOL exchange. A cohort design was used to estimate the incidence of IOL exchange and a case-control design to identify factors associated with it. All phacoemulsification surgeries with IOL (n = 17415 eyes) during 2010-2017 and those that had a subsequent IOL removal or replacement during the same time period were identified (n = 34 eyes). The incidence of IOL exchange was 2 per 1000 surgeries (95% confidence interval [CI] 1 to 3) over 8 years. Eyes that underwent subsequent IOL removal or replacement were compared with eyes that had cataract surgery only (n = 47) across demographic and clinical characteristics. In a binary logistic regression analysis, two factors were significantly associated with IOL exchange/removal: an adverse event during cataract surgery (adjusted odds ratio [aOR] 19.45; 95% CI 4.89-77.30, P < 0.001) and a pre-existing ocular comorbidity (aOR 10.70; 95% CI 1.69-67.63, P = 0.021). The effect of gender was marginally significant (P = 0.077). Eyes that underwent IOL exchange or explantation were nearly two and a half times more likely to have a final best-corrected visual acuity of <20/60 compared to those that had cataract surgery alone (adjusted RR 2.60 95% CI, 1.13-6.02; P = 0.025).

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Biuppslag (personer, institutioner, konferenser, titlar ...)

Ahmad, KhabirKing Khaled Eye Specialist Hospital (författare)
Al-Abdullah, Abdulelah A.King Khaled Eye Specialist Hospital (författare)
Malik, RizwanKing Khaled Eye Specialist Hospital (författare)
Khandekar, RajivKing Khaled Eye Specialist Hospital (författare)
Martinez-Osorio, HernanKing Khaled Eye Specialist Hospital (författare)
Mura, MarcoUniversity of Illinois at Chicago,King Khaled Eye Specialist Hospital (författare)
Schatz, PatrikLund University,Lunds universitet,Oftalmologi, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Ophthalmology, Lund,Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,King Khaled Eye Specialist Hospital,Skåne University Hospital(Swepub:lu)oft-psc (författare)
Jeddah Eye HospitalKing Khaled Eye Specialist Hospital (creator_code:org_t)

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Ingår i:Scientific Reports: Springer Science and Business Media LLC9:12045-2322

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Av författaren/redakt...: Abdalla Elsayed, ...; Ahmad, Khabir; Al-Abdullah, Abd ...; Malik, Rizwan; Khandekar, Rajiv; Martinez-Osorio, ...; visa fler...; Mura, Marco; Schatz, Patrik; visa färre...

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