{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:28:31Z","timestamp":1786739311599,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Intraocular lens (IOL) exchange may be required after multifocal IOL implantation due to dissatisfaction. Late IOL exchange is more challenging when it is done with capsulotomy. We presented a retrospective case series study enrolling four consecutive eyes reviewing late IOL exchange due to decreased vision and dysphotopsia. High residual hyperopia, astigmatism, and IOL tilt occurred in 3 eyes, respectively. The mean time to the IOL exchange was 15.8 \u00b1 10.63 months. After separation of the adhesions by visco-dissection assisted with a 27-gaze needle and sinskey hook, IOL was explanted. One-piece IOL was implanted in the bag in two eyes without posterior capsulotomy, whereas three-piece IOL was implanted in the sulcus after viscoelastic tamponade in the other 2 eyes with capsulotomy. No complication occurred and dysphotopsia disappeared. The mean logarithm of the minimum angle of resolution best-corrected visual acuity significantly improved from 0.33 \u00b1 0.12 preoperatively to 0.11 \u00b1 0.13 postoperatively. In conclusion, late IOL exchange could be safely performed with proper technique and achieve good results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/tjo.tjo_55_20","type":"journal-article","created":{"date-parts":[[2020,10,7]],"date-time":"2020-10-07T06:17:46Z","timestamp":1602051466000},"page":"109-112","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Late intraocular lens exchange in dissatisfied patients with multifocal intraocular lens implantation"],"prefix":"10.4103","volume":"12","author":[{"given":"Yu-Wei","family":"Kuo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Chih","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20240830","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1016\/j.jcrs.2009.01.031","article-title":"Dissatisfaction after multifocal intraocular lens implantation","volume":"35","author":"Woodward","year":"2009","journal-title":"J Cataract Refract Surg"},{"key":"R2-19-20240830","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1111\/aos.12093","article-title":"Feasibility of multifocal intra-ocular lens exchange and conversion to the bag-in-the-lens implantation","volume":"92","author":"Tassignon","year":"2014","journal-title":"Acta Ophthalmol"},{"key":"R3-19-20240830","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.jcrs.2010.11.032","article-title":"Dissatisfaction after implantation of multifocal intraocular lenses","volume":"37","author":"de Vries","year":"2011","journal-title":"J Cataract Refract Surg"},{"key":"R4-19-20240830","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1016\/j.ajo.2014.04.010","article-title":"Multifocal intraocular lens explantation: A case series of 50 eyes","volume":"158","author":"Kamiya","year":"2014","journal-title":"Am J Ophthalmol"},{"key":"R5-19-20240830","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.jcrs.2017.03.034","article-title":"Refractive outcomes after multifocal intraocular lens exchange","volume":"43","author":"Kim","year":"2017","journal-title":"J Cataract Refract Surg"},{"key":"R6-19-20240830","first-page":"925","article-title":"Intraocular lens exchange-removing the optic intact","volume":"9","author":"Lee","year":"2016","journal-title":"Int J Ophthalmol"},{"key":"R7-19-20240830","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/S0886-3350(02)01357-3","article-title":"Complications and clinical outcomes of intraocular lens exchange in patients with calcified hydrogel lenses","volume":"28","author":"Yu","year":"2002","journal-title":"J Cataract Refract Surg"},{"key":"R8-19-20240830","doi-asserted-by":"crossref","first-page":"2569","DOI":"10.1016\/j.jcrs.2004.04.055","article-title":"Perioperative complications of intraocular lens exchange in patients with opacified Aqua-Sense lenses","volume":"30","author":"Dagres","year":"2004","journal-title":"J Cataract Refract Surg"},{"key":"R9-19-20240830","doi-asserted-by":"crossref","first-page":"179","DOI":"10.4103\/tjo.tjo_19_17","article-title":"Multifocal intraocular lenses: Types, outcomes, complications and how to solve them","volume":"7","author":"Salerno","year":"2017","journal-title":"Taiwan J Ophthalmol"}],"container-title":["Taiwan Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/tjo.tjo_55_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:27:50Z","timestamp":1786735670000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/tjo.tjo_55_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/tjo.tjo_55_20","relation":{},"ISSN":["2211-5056"],"issn-type":[{"value":"2211-5056","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}