Complications of foldable intraocular lenses requiring explantation or secondary intervention--2007 survey update

J Cataract Refract Surg. 2008 Sep;34(9):1584-91. doi: 10.1016/j.jcrs.2008.05.046.


The tenth annual survey of complications associated with foldable intraocular lenses (IOLs) requiring explantation or secondary intervention was sent to members of the American Society of Cataract and Refractive Surgery and the European Society of Cataract and Refractive Surgeons. Preoperative data about visual acuity, patient signs and symptoms, and complications requiring IOL removal were evaluated. Complications were then tabulated for each of the following major foldable IOL groups: 1-piece (plate) silicone, 1-piece hydrophobic acrylic with haptics, 3-piece silicone, 3-piece hydrophobic acrylic, 3-piece hydrophilic acrylic (hydrogel), 3-piece unknown, multifocal acrylic, and multifocal silicone. One hundred forty-two surveys were returned for evaluation. Dislocation/decentration, incorrect IOL power, glare/optical aberrations, and IOL calcification were the most common reasons for removing foldable IOLs. Good surgical technique, accurate IOL power measurements, and high manufacturing standards for foldable IOL materials and designs are the most important factors in preventing complications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acrylic Resins / adverse effects
  • Device Removal
  • Health Care Surveys
  • Humans
  • Lenses, Intraocular / adverse effects*
  • Ophthalmology / statistics & numerical data*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Reoperation
  • Silicone Elastomers / adverse effects
  • Societies, Medical / statistics & numerical data
  • United States


  • Acrylic Resins
  • Silicone Elastomers