Sputnik Intraocular Lenses: Explantation Procedure

Objective: To determine indications for intraocular lens (IOL) explantation and to assess the influence of this procedure on the definite visual outcome. Retrospective analysis of 5 IOL explantations was performed from October 1992 to February 1994 by one surgeon. Setting: Kaunas Medical Academy. Methods: Repeated IOL fixation/repositioning, IOL explantation/reimplantation, corneal decompensation, penetrating keratoplasty (PKP), best corrected post-operative visual acuity. Results: Initial corneal decompensation occurred after surgical reintervention in two cases. Donor cornea 1 year after PKP remained clear, location of reimplanted anterior chamber IOL in all cases was stable. Best corrected visual acuity was 0.02–0.4. Conclusions: Positioning of additional iris-clips IOL fixation in cases of dislocation is of small value. Early iris-clips IOL removal is recommended in cases of dislocation.