{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:05Z","timestamp":1787776265950,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>The purpose of this study is to evaluate the causes of phakic implantable collamer lens (ICL) explantation\/exchange at an eye hospital in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>A retrospective chart review was performed for patients who underwent ICL implantation from 2007 to March 2014 and data were collected on cases that underwent ICL explantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Of the 787 ICL implants, 30 implants (3.8% [95% confidence interval 2.6%; 5.3%]) were explanted. The causes of explantation included incorrect lens size (22), cataract (4), high residual astigmatism (2), rhegmatogenous retinal detachment (1), and intolerable glare (1). Corrective measures mainly included an exchange with an appropriately sized lens (9), ICL explantation (11), with phacoemulsification and posterior chamber intraocular lens implantation (6), or replacement with an ICL of correct power (2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Incorrect ICL size was the most common cause of ICL explantation. More accurate sizing methods for ICL are required to reduce the explantation\/exchange rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0974-9233.194076","type":"journal-article","created":{"date-parts":[[2017,1,24]],"date-time":"2017-01-24T08:24:11Z","timestamp":1485246251000},"page":"293-295","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":34,"title":["Causes of Phakic Implantable Collamer Lens Explantation\/Exchange at King Khaled Eye Specialist Hospital"],"prefix":"10.4103","volume":"23","author":[{"given":"Nasser A.","family":"AlSabaani","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, College of Medicine, King Khalid University, Abha, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Behrens","sequence":"additional","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"},{"name":"Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabah","family":"Jastanieah","sequence":"additional","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salem","family":"Al Malki","sequence":"additional","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohanna","family":"Al Jindan","sequence":"additional","affiliation":[{"name":"Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saeed","family":"Al Motowa","sequence":"additional","affiliation":[{"name":"King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250523","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0161-6420(02)01771-2","article-title":"Implantable Contact Lens in Treatment of Myopia Study Group. U.S. food and drug administration clinical trial of the implantable contact lens for moderate to high myopia","volume":"110","author":"Sanders","year":"2003","journal-title":"Ophthalmology"},{"key":"R2-20250523","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1007\/s10792-015-0112-4","article-title":"Causes of elevated intraocular pressure following implantation of phakic intraocular lenses for myopia","volume":"36","author":"Almalki","year":"2016","journal-title":"Int Ophthalmol"},{"key":"R3-20250523","doi-asserted-by":"crossref","first-page":"991","DOI":"10.3928\/1081597X-20100521-01","article-title":"Bilateral explantation of visian implantable collamer lenses secondary to bilateral acute angle closure resulting from a non-pupillary block mechanism","volume":"26","author":"Khalifa","year":"2010","journal-title":"J Refract Surg"},{"key":"R4-20250523","first-page":"415","article-title":"Posterior chamber collamer phakic intraocular lens for myopia and hyperopia","volume":"15","author":"Pesando","year":"1999","journal-title":"J Refract Surg"},{"key":"R5-20250523","doi-asserted-by":"crossref","first-page":"362","DOI":"10.3928\/1081-597X-20070401-08","article-title":"Ultrasound biomicroscopy for determining visian implantable contact lens length in phakic IOL implantation","volume":"23","author":"Choi","year":"2007","journal-title":"J Refract Surg"},{"key":"R6-20250523","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1016\/S0886-3350(00)00830-0","article-title":"Predicting sulcus size using ocular measurements","volume":"27","author":"Pop","year":"2001","journal-title":"J Cataract Refract Surg"},{"key":"R7-20250523","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/j.jcrs.2008.03.033","article-title":"Meridional differences in internal dimensions of the anterior segment in human eyes evaluated with 2 imaging systems","volume":"34","author":"Werner","year":"2008","journal-title":"J Cataract Refract Surg"},{"key":"R8-20250523","doi-asserted-by":"crossref","first-page":"1683","DOI":"10.1016\/j.ophtha.2004.03.026","article-title":"ICL in Treatment of Myopia Study Group. United States food and drug administration clinical trial of the implantable collamer lens (ICL) for moderate to high myopia: Three-year follow-up","volume":"111","author":"Sanders","year":"2004","journal-title":"Ophthalmology"},{"key":"R9-20250523","doi-asserted-by":"crossref","first-page":"17","DOI":"10.3928\/1081-597X-20070101-05","article-title":"Visian collamer phakic intraocular lens in high myopic Asian eyes","volume":"23","author":"Chang","year":"2007","journal-title":"J Refract Surg"}],"container-title":["Middle East African Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01436644-201623040-00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:04:57Z","timestamp":1787774697000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01436644-201623040-00003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,10]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.4103\/0974-9233.194076","relation":{},"ISSN":["0974-9233","0975-1599"],"issn-type":[{"value":"0974-9233","type":"print"},{"value":"0975-1599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,10]]}}}