Anterior segment optical coherence tomography of intraocular lens opacification

Choudhry, S.; Goel, Neha; Mehta, Aanchal; Mahajan, Nidhi

doi:10.4103/ijo.ijo_1172_17

Cited by 13 publications

(1 citation statement)

References 9 publications

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“…All "Hydrosmart" Lentis IOLs from the model type L-, LU-, and LS and starting with the serial number "20 000" produced before the year 2012 were recalled. Choudhry et al mentioned in their recently published case report that it is important to differentiate IOL opacification from posterior capsule opacification and anterior lens epithelial cell proliferation [17]. YAG laser treatment in cases of lens opacification can jeopardize the IOL exchange operation, leading to vitreous-associated complications and an inability to implant the new lens in the bag.…”

Section: Discussionmentioning

confidence: 99%

674 Cases of Late Postoperative Intraocular Lens Opacification of a Hydrophilic-Hydrophobic Acryl Intraocular Lens in Switzerland and Retrospective Opacification Risk Factor Assessment of 212 Cases

Amon

Goldblum

Meyer

et al. 2023

Klin Monbl Augenheilkd

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Purpose To report the prevalence of late postoperative opacification of a hydrophilic and hydrophobic acrylic intraocular lens (IOL) and to assess the risk factors in a subset of 212 eyes of patients referred to the University Eye Department in Basel, Switzerland. Design Retrospective case series. Methods A survey was performed at all large ophthalmological clinics in Switzerland regarding exchanged Lentis LS-502-1 lenses, and the number of affected eyes was counted. Moreover, consecutive patients who were referred to a tertiary clinic between September 2015 and November 2016 with Lentis LS-502-1 opacification were investigated. Peri- and postoperative charts, medical history, and topical and systemic medications were assessed. Results A total of 674 opacified Lentis LS-502-1 lenses have been reported in Switzerland, and 212 consecutive eyes of 182 patients were included in the study. All IOLs had a similar pattern of opacification with a yellowish, diffuse appearance, and most of them showed a small, paracentral, roundish area that was less affected or not at all. Arterial hypertension (73%), hypercholesterolemia (34%), and diabetes (21%) were the main associated systemic diseases, and statins (34%) and betablockers (34%) were the main treatments used. Conclusions The prevalence of IOL opacification was 9.9%. No associated systemic eye disease or medications could be detected, which was implicated in the opacification process. The reason for opacification remains unclear, but it seems to be unrelated to the patientʼs state; therefore, it is attributed to primary calcification.

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Section: Discussionmentioning

confidence: 99%

674 Cases of Late Postoperative Intraocular Lens Opacification of a Hydrophilic-Hydrophobic Acryl Intraocular Lens in Switzerland and Retrospective Opacification Risk Factor Assessment of 212 Cases

Amon

Goldblum

Meyer

et al. 2023

Klin Monbl Augenheilkd

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The effect of hypotensive drugs on intraocular lenses clarity

Sharon

Haim

Rabinowicz

et al. 2022

Eye

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A review of late intraocular lens opacifications

Kanclerz¹,

Yildirim

Khoramnia

2020

Current Opinion in Ophthalmology

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Purpose of review Phacoemulsification cataract surgery is one of the most commonly performed surgical procedure worldwide. In the majority of cases, intraocular lenses (IOLs) are implanted. Due to the increasing life expectancy and the fact that cataract surgery is performed in earlier stages, the anticipated IOL duration in the eye has increased over the last decades. The aim of this study was to review the types and describe the characteristics of late intraocular lens opacifications. Recent findings Calcification was the most commonly reported type of opacification in hydrophilic IOLs; it usually negatively impacted the visual function and required IOL explantation. Glistening manifested in hydrophobic acrylic lenses and was frequent in some IOL models. In most cases glistening and subsurface nanoglistenigs do not lead to a decline in visual acuity or require IOL exchange. Current studies indicate that fluid-related phenomena may induce straylight, leading to a decrease of comfort and quality of vision. Summary Several reports on late IOL opacifications have been published in recent years. In some cases, particularly in glistening, the development of the opacifications might be related to IOL aging. The influence of the fluid-related microvacuoles on the quality of vision requires further research.

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Anterior segment optical coherence tomography of intraocular lens opacification

Cited by 13 publications

References 9 publications

674 Cases of Late Postoperative Intraocular Lens Opacification of a Hydrophilic-Hydrophobic Acryl Intraocular Lens in Switzerland and Retrospective Opacification Risk Factor Assessment of 212 Cases

674 Cases of Late Postoperative Intraocular Lens Opacification of a Hydrophilic-Hydrophobic Acryl Intraocular Lens in Switzerland and Retrospective Opacification Risk Factor Assessment of 212 Cases

The effect of hypotensive drugs on intraocular lenses clarity

A review of late intraocular lens opacifications

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