{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:30:19Z","timestamp":1790641819111,"version":"4.1.0"},"reference-count":28,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T00:00:00Z","timestamp":1606521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>We compared the surgical outcomes and complications of refixation vs. exchange of dislocated intraocular lenses (IOLs) in patients who underwent transscleral suture fixation combined with pars plana vitrectomy for the treatment of IOL dislocation. A total of 83 eyes (n = 83 patients) with postoperative follow-up of \u22656 months were evaluated: 40 received refixation of dislocated IOL (refixation group) while 43 received IOL exchange (exchange group) treatment. Treatment outcomes, including best-corrected visual acuity (BCVA), spherical equivalent, corneal cylinder, intraocular pressure (IOP), central macular thickness (CMT), and corneal endothelial cell density (ECD), and postoperative complications were retrospectively reviewed. BCVA improvement at 6 months after surgery was comparable between the groups. Postoperative decrease in corneal ECD was significantly greater in the exchange group than in the refixation group, but no significant differences were found in spherical equivalent, corneal cylinder, IOP, or CMT changes. The exchange group experienced significantly more frequent postoperative vitreoretinal complications, such as retinal detachment, choroidal effusion, cystoid macular edema, and secondary epiretinal membrane, than the refixation group. Without any reason to extract the dislocated IOL, reuse of the dislocated IOL would be a better surgical option for transscleral suture fixation to protect corneal endothelial cells and prevent postoperative vitreoretinal complications.<\/jats:p>","DOI":"10.3390\/jcm9123868","type":"journal-article","created":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T03:51:16Z","timestamp":1606535476000},"page":"3868","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Surgical Outcome of Refixation versus Exchange of Dislocated Intraocular Lens: A Retrospective Cohort Study"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3791-0089","authenticated-orcid":false,"given":"Young In","family":"Shin","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Seoul National University College of Medicine, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3588-4497","authenticated-orcid":false,"given":"Un Chul","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Seoul National University College of Medicine, Seoul 03080, Korea"},{"name":"Retinal Degeneration Research Laboratory, Seoul National University Hospital Biomedical Research Institute, Seoul 03080, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/S0161-6420(83)34555-3","article-title":"The FDA Report on Intraocular Lenses","volume":"90","author":"Stark","year":"1983","journal-title":"Ophthalmology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"12877","DOI":"10.1038\/s41598-019-49030-2","article-title":"Incidence of Intraocular Lens Exchange after Cataract Surgery","volume":"9","author":"Elsayed","year":"2019","journal-title":"Sci. Rep."},{"key":"ref_3","first-page":"280","article-title":"Intraocular lenses: Complications and visual results","volume":"81","author":"Stark","year":"1983","journal-title":"Trans. Am. Ophthalmol. Soc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.1016\/j.jcrs.2005.06.053","article-title":"Late in-the-bag intraocular lens dislocation: Incidence, prevention, and management","volume":"31","author":"Gimbel","year":"2005","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0161-6420(98)96020-1","article-title":"Pseudoexfoliation syndrome for the comprehensive ophthalmologist Intraocular and systemic manifestationsHistorical image","volume":"105","author":"Naumann","year":"1998","journal-title":"Ophthalmology"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1016\/S0161-6420(01)00710-2","article-title":"Spontaneous late dislocation of intraocular lens within the capsular bag in pseudoexfoliation patients","volume":"108","author":"Jehan","year":"2001","journal-title":"Ophthalmology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/j.ophtha.2008.11.018","article-title":"Late in-the-bag spontaneous intraocular lens dislocation: Evaluation of 86 consecutive cases","volume":"116","author":"Davis","year":"2009","journal-title":"Ophthalmology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1038\/eye.2013.95","article-title":"Late in-the-bag intraocular lens dislocation requiring explantation: Risk factors and outcomes","volume":"27","author":"Alio","year":"2013","journal-title":"Eye (Lond.)"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1016\/j.jcrs.2014.08.037","article-title":"Pathologic evidence of pseudoexfoliation in cases of in-the-bag intraocular lens subluxation or dislocation","volume":"41","author":"Liu","year":"2015","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.ophtha.2006.09.017","article-title":"Possible predisposing factors for in-the-bag and out-of-the-bag intraocular lens dislocation and outcomes of intraocular lens exchange surgery","volume":"114","author":"Hayashi","year":"2007","journal-title":"Ophthalmology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"363","DOI":"10.5301\/ejo.5000046","article-title":"Spontaneous dislocation of in-the-bag intraocular lens primarily in cases with prior vitrectomy","volume":"22","author":"Matsumoto","year":"2012","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/j.jcrs.2006.10.073","article-title":"Scleral fixation in eyes with loss of capsule or zonule support","volume":"33","author":"Monteiro","year":"2007","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1016\/j.jcrs.2011.02.023","article-title":"Visual outcomes and complications of scleral-fixated posterior chamber intraocular lenses","volume":"37","author":"McAllister","year":"2011","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1851","DOI":"10.1016\/j.jcrs.2007.07.013","article-title":"Sutureless intrascleral posterior chamber intraocular lens fixation","volume":"33","author":"Gabor","year":"2007","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1016\/j.jcrs.2008.04.040","article-title":"Fibrin glue-assisted sutureless posterior chamber intraocular lens implantation in eyes with deficient posterior capsules","volume":"34","author":"Agarwal","year":"2008","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/S0886-3350(00)00322-9","article-title":"Iris fixation of posterior chamber intraocular lenses","volume":"26","author":"Zeh","year":"2000","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2139","DOI":"10.1016\/j.jcrs.2012.07.035","article-title":"Visual outcome and complications after posterior iris-claw aphakic intraocular lens implantation","volume":"38","author":"Gonnermann","year":"2012","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.jcrs.2009.11.030","article-title":"Modified transscleral fixation using combined temporary haptic externalization and injector intraocular lens implantation","volume":"36","author":"Kim","year":"2010","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1038\/eye.2015.22","article-title":"Comparision of surgical outcomes of intraocular lens refixation and intraocular lens exchange with perfluorocarbon liquid and fibrin glue-assisted sutureless scleral fixation","volume":"29","author":"Oh","year":"2015","journal-title":"Eye (Lond.)"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"5942687","DOI":"10.1155\/2016\/5942687","article-title":"A Comparison of Clinical Outcomes of Dislocated Intraocular Lens Fixation between In Situ Refixation and Conventional Exchange Technique Combined with Vitrectomy","volume":"2016","author":"Eum","year":"2016","journal-title":"J. Ophthalmol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ajo.2019.05.030","article-title":"Long-Term Outcomes after Surgery for Late In-The-Bag Intraocular Lens Dislocation: A Randomized Clinical Trial","volume":"207","author":"Dalby","year":"2019","journal-title":"Am. J. Ophthalmol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1016\/j.ophtha.2016.10.024","article-title":"Late In-the-Bag Intraocular Lens Dislocation: A Randomized Clinical Trial Comparing Lens Repositioning and Lens Exchange","volume":"124","author":"Kristianslund","year":"2017","journal-title":"Ophthalmology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"7342917","DOI":"10.1155\/2018\/7342917","article-title":"Comparisons of Visual and Surgical Outcomes after Reuse or Replacement of Dislocated in-the-Bag Intraocular Lens","volume":"2018","author":"Baba","year":"2018","journal-title":"J. Ophthalmol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1007\/s00417-011-1837-z","article-title":"Long-term corneal endothelial cell changes in pediatric intraocular lens reposition and exchange cases","volume":"250","author":"Wang","year":"2012","journal-title":"Graefes Arch. Clin. Exp. Ophthalmol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1016\/j.jcrs.2007.12.032","article-title":"Modified transscleral fixation technique for refixation of dislocated intraocular lenses","volume":"34","author":"Nikeghbali","year":"2008","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1016\/S0886-3350(13)80612-8","article-title":"Incidence and management of complications of transsclerally sutured posterior chamber lenses","volume":"19","author":"Solomon","year":"1993","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/j.ajo.2015.06.010","article-title":"Comparison of clinical outcomes of iris fixation and scleral fixation as treatment for intraocular lens dislocation","volume":"160","author":"Kim","year":"2015","journal-title":"Am. J. Ophthalmol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1097\/IAE.0000000000000484","article-title":"Surgical Outcome of Simultaneous Intraocular Lens Rescue and Sutureless Intrascleral Tunnel Fixation of Dislocated Intraocular Lenses","volume":"35","author":"Kim","year":"2015","journal-title":"Retina"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/12\/3868\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:38:43Z","timestamp":1760179123000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/12\/3868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,28]]},"references-count":28,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2020,12]]}},"alternative-id":["jcm9123868"],"URL":"https:\/\/doi.org\/10.3390\/jcm9123868","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,28]]}}}