{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:45:19Z","timestamp":1793022319849,"version":"4.5.0"},"reference-count":37,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the visual outcomes and complication rates for IOL (intraocular lens) exchange, analysed by combination of surgical indication and secondary IOL implantation site.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective case series of IOL exchange procedures performed between June 1998 and July 2018 from a single tertiary referral centre, London, United Kingdom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Consecutive IOL exchange procedures with pre-operative and 6-month post-operative visual acuity and complication data were eligible.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      318 eyes from 288 patients were included. Mean best-corrected visual acuity (BCVA) improved from 0.82\u2009\u00b1\u20090.77 to 0.47\u2009\u00b1\u20090.60 LogMAR at 6 months (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), in particular following complete IOL dislocation (adjusted\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), partial IOL dislocation (adjusted\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001), refractive indications (adjusted\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.02), and pseudophacodonesis (adjusted\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.02). The most performed and the greatest BCVA improvement was found with subsequent anterior chamber IOL implantation (\u22120.44\u2009\u00b1\u20090.72 LogMAR,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009214, 67%). The poorest BCVA at 6 months was following IOL exchange for corneal oedema (1.13\u2009\u00b1\u20090.81 LogMAR,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200916, 5%). 26% of cases underwent concurrent pars plana vitrectomy, and 15% underwent anterior vitrectomy, with 8% experiencing post-operative cystoid macular oedema.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>IOL exchange is safe and effective, however careful patient selection and pre-operative counselling assisted by such data should determine when surgery should be undertaken.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721261446009","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:40:21Z","timestamp":1777408821000},"page":"1582-1590","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Characterising the safety and efficacy of intraocular lens exchange by surgical indication and IOL implantation sites"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4080-4188","authenticated-orcid":false,"given":"Timothy E","family":"Yap","sequence":"first","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Vakros","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Jain","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Yang","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabia","family":"Bourkiza","sequence":"additional","affiliation":[{"name":"Moorfields Eye Hospital NHS Foundation Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2017.12.016"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.01.024"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-49030-2"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2020.03.012"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1080\/08164622.2021.1878829"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S362930"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjophth-2020-000589"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.01.031"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S399857"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2013.08.019"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-014-9996-7"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2016.06.031"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10792-019-01181-x"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000000349"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12886-023-02871-y"},{"key":"e_1_3_3_17_2","first-page":"688","article-title":"Changing indications for and improving outcomes of intraocular lens exchange","volume":"140","author":"Jin GJ","unstructured":"Jin GJ, Crandall AS, Jones JJ. 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