Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Indications for explantation of implantable collamer lens

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Session Details

Session Title: Presented Poster Session 14: Phakic IOLs I

Session Date/Time: Sunday 11/09/2016 | 15:00-16:30

Paper Time: 15:30

Venue: Poster Village: Pod 2

First Author: : J.Titiyal INDIA

Co Author(s): :    M. Kaur   R. Falera   R. Sinha   N. Sharma     

Abstract Details


To evaluate the reasons for explantation of implantable collamer lens (ICL) and the visual and anatomical outcomes.


Dr. R.P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India


A retrospective analysis of nine cases that underwent ICL implantation in the last three years was undertaken. The causes leading to ICL explantation were analysed. A phacoemulsification procedure with implantation of intraocular lens was performed if needed.


Reasons for ICL explantation were chipped haptic of ICL during insertion (2/9), first stage ICL explantation with phacoemulsification before vitreoretinal surgery (2/9), posttraumatic ICL dislocation with anterior subcapsular cataract (1/9), nuclear sclerosis (1/9), silicon-oil induced cataract post vitreoretinal surgery (1/9), shallow vault with recurrent uveitis (1/9) and acute postoperative endophthalmitis (1/9). Concomitant phacoemulsification with intraocular lens implantation was needed in seven cases (7/9). In case with shallow vault with recurrent uveitis required ICL explantation alone. In the case with endophthalmitis, ICL explantation was done with intravitreal antibiotics and a re-implantation of ICL was done after successful resolution of endophthalmitis.


An ICL explantation may rarely be needed after successful implantation in cases with damaged ICL, cataract or posterior segment pathologies. Phacoemulsification with IOL implantation is often needed simultaneously in cases with co-existent cataract or to facilitate vitreoretinal surgery. Incidence of ICL induced cataract has decreased with newer generation ICL, and 77.8% (7/9) of our cases required ICL explantation for other indications.

Financial Disclosure:


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