To examine the current causes of intraocular lens (IOL) explantation, compare various IOL explantation techniques, and assess the visual outcomes and complications.
Retrospective comparative case series.
One hundred and seventy-five eyes of 160 patients who underwent IOL exchange for a one-piece foldable acrylic IOL between January 2010 and March 2022 were covered by the research. Group 1 included 74 eyes from 69 patients in which the IOL was removed after being grasped, pulled, and refolded inside the main incision. Group 2 consisted of 66 eyes from 60 patients in which the IOL was removed by bisecting it, while Group 3 included 35 eyes from 31 patients in which the IOL was removed by enlarging the main incision.
Surgical indications, interventions, visual outcomes and refraction, and complications.
The mean patient age was 66.1 ± 10.5 years. The mean time between primary surgery and IOL explantation was 57.0 ± 38.9 months. IOL dislocation (in 85 eyes, 49.5%) was the most common reason for IOL explantation. When the patients were examined in terms of both surgical indication groups and IOL removal techniques, corrected-distance visual acuity (CDVA) increased significantly in all subgroups (p < .001). The increase in astigmatism following surgery was 0.08 ± 0.13 D in Group 1, 0.09 ± 0.17 D in Group 2, and 0.83 ± 0.29 D in Group 3 (p < .001).
The grasp, pull, and refold technique for IOL explantation provides a simpler surgery, less complication, and good visual outcomes.

Copyright © 2023 Elsevier Inc. All rights reserved.