The "official" version (not the one with the 'extended' suffix) is compiled as a multi-object library. So you have to load the library first, either with a command line flag '-lib iemmatrix' or with a [declare -lib iemmatrix] object in your patch (The latter is much preferred as it makes your patch more portable). When loaded, iemmatrix prints a greeter to the Pd console window:
iemmatrix 0.3.2
objects for manipulating 2d-matrices
(c) 2001-2015 iem
IOhannes m zmölnig
Thomas Musil
Franz Zotter
compiled Sep 6 2019 : 12:07:54
After that you can create objects like [mtx_*~]
The version 'v0.0-extended' was added to facilitate the migration away from now retired Pd-extended. Since it is compiled as a one-object-per-file library and many of the those objects have names that cannot easily be used in filenames, Pd-extended used a trick with an additional hexloader library that translates hex encoded filenames to the actual name of the objects. For being able to load objects from the extended version, you would have to install and load 'hexloader' first.
Having said that, it is highly recommended to use the official version which is actively maintained while the extended version is not and is there for historical reasons.