Clinicopathologic correlation of capsulorhexis phimosis with anterior flexing of single-piece hydrophilic acrylic intraocular lens haptics

Abstract

No author has a financial or proprietary interest in any material or method mentioned.

Capsule Contraction Syndrome with a Microincision Foldable Hydrophilic Acrylic Intraocular Lens: Two Case Reports and Review of the Literature

“…However, as stressed by Zaugg et al [23], Qatarneh et al [21] and by Caravella [20], we believe that, when CCS occurs with IOLs such as the Akreos MI60, which has to be particularly soft to enter the eye through a microincision, it easily causes compression stretching of the IOL, resulting in a significant dislocation and deformation of both the optics and the haptics.…”

“…Both patients developed CCS, which caused ciliary body detachment in the first patient (as reported by Lanzl [7], Salzman et al [8], and Srinivasan et al [10]) and posterior dislocation of the IOL optic in the latter (as reported by Sanders et al [14], Ozturk et al [16], Qatarneh et al [21], and Zaugg et al [23]) (table 1). Notwithstanding the fact that no ocular risk factors were apparently present (since surgery had been performed elsewhere), we cannot exclude a weakness of the zonular apparatus, even in the absence of pseudoexfoliation or a small capsulorhexis as intraoperative causative factors of CCS.…”

“…The literature data shows that CCS has occurred in eyes with and without risk factors after the implantation of every IOL type (PMMA, silicone and acrylic); however, looking at the most recent reports, CCS has mainly developed after hydrophilic acrylic IOL implantation (in 1 case after implanting Akreos MI60 [18], in 1 case after Raysoft 574 R, Rayner Intraocular lenses, Ltd. [23], in 1 case after Bioacryl, Biotech [23], in 5 cases after Quatrix IOL, Croma Pharma GmbH [22], and in 6 cases after implanting an Akreos IOL lens [19, 20, 21]) (table 1). …”

“…The material and design of intraocular lenses (IOLs) have been hypothesized to play a role in anterior capsule opacification, the milder form of the disease [2]. However, CCS has been reported to occur with different types of IOLs, including polymethylmethacrylate, silicone and acrylic [2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24]. Herein, we illustrate 2 cases of CCS following microincision cataract surgery without any associated ocular or systemic disease and we also review the literature on the subject (table 1).…”

Refraktive Vorhersagbarkeit und Stabilität von 3-teiligen vs. 1-teiligen Intraokularlinsen bei hoher Achsenmyopie

“…High myopia · Single-piece intraocular lens · Three-piece intraocular lens · Refractive predictability · Stability de bei einigen Patienten mit einem ähn-lichen hydrophilen Acrylmaterial bereits beschrieben [12,19]. Klinisch signifikante Kapselschrumpfung oder Kapselphimosen wurden bei unseren Patienten aber nicht beobachtet.…”