[Explantation and replacement of intraocular lenses].

Purpose: to evaluate the reasons for explantation of different types of intraocular lenses.

Material And Method: We studied 27 eyes operated previously for cataract and which developed in postoperative period intraocular induced complication, demanding explantation.

Results: In 51.85% cases we explanted anterior chamber IOL, in 40.74% eyes posterior chamber IOL and in the rest pupillary IOL. Reasons of explantation were according to the artificial lens: in 4 cases for edematous keratopathy, chronic uveitis in 2 eyes and descentration in 8 eyes. Reimplantation was performed at 19 eyes, in 10 cases with standard posterior chamber IOL and in 9 cases with scleral sutured posterior chamber IOL.

Conclusions: The main reason for explantation in anterior chamber IOL is the edematous keratopathy and malpositions for posterior chamber IOL.