Intraoperative Opacification of a Hydrophilic Acrylic With Hydrophobic Surface IOL With Spontaneous Resolution in 24 Hours

Gutiérrez, Lucía; Rodríguez, Paz; García, David Antolín

doi:10.3928/1081597x-20130313-03

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…The same IOL clouding occurred. They mentioned that consolidation of water vapor on a cold surface might explain the observed discoloration, which resolved within 24h [17] . A previously reported study described a transient AcrySof IOL fogging after warming in a heating cupboard at 47℃.…”

Section: Intraoperative Intraocular Lens Opacificationmentioning

confidence: 99%

“…Accordingly, the ophthalmologists should be aware of the transient nature of this event and avoid unnecessarily removing the implant. Table 1 summarizes reports of intraoperative IOL opacification due to rapid temperature fluctuation [13][14][17][18][20][21][22][23][24] . Crystallization on intraocular lens surface Crystallization at the time of surgery is an uncommon event but can significantly reduce the visual acuity due to the persistence of deposits [25] .…”

Section: Intraoperative Intraocular Lens Opacificationmentioning

confidence: 99%

“…Gutierrez [17] 80, female Hydrophilic acrylic IOL with a hydrophobic surface (CT Spheris 204; Carl Zeiss Meditec)…”

Section: Immediate Whiteningmentioning

confidence: 99%

“…Corticosteroids have a leading role in the management. Regardless to the shape, productive company, material properties, and surface technology of materials, acute IOL discoloration can be occurred in almost all types of IOLs such as hydrophilic acrylic IOL, acrylic hydrophobic IOL, hydrophilic acrylic IOL with a hydrophobic surface, trifocal IOL, silicone IOL, and PMMA IOL [14][15][16][17][18][20][21][22][23][24][53][54][55][56][57] . However, some types of discoloration are more common is some particular types of IOLs.…”

Section: Iol Opacificationmentioning

confidence: 99%

See 3 more Smart Citations

Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review

Momenaei¹,

Tabatabaei²,

Soleimani³

et al. 2022

Int J Ophthalmol

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Millions of cataract surgeries with intraocular lens (IOL) implantation are performed worldwide. Although cataract surgery brings many benefits to the patients, the risk of various complications is still a concern. One of the infrequent adverse events but potentially affecting on patients’ visual acuity and contrast sensitivity is losing the transparency of IOL. IOL opacification may lead to IOL removal or exchange, which is unpleasant to both the patient and the surgeon. Several reports of acute IOL clouding are available in the literature describing various etiologies of this phenomenon, however, the exact mechanism remained unclear in some cases. Herein, we aimed to review the causes and outcomes of intraoperative and early postoperative IOL opacification.

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Section: Intraoperative Intraocular Lens Opacificationmentioning

confidence: 99%

Section: Intraoperative Intraocular Lens Opacificationmentioning

confidence: 99%

“…Gutierrez [17] 80, female Hydrophilic acrylic IOL with a hydrophobic surface (CT Spheris 204; Carl Zeiss Meditec)…”

Section: Immediate Whiteningmentioning

confidence: 99%

Section: Iol Opacificationmentioning

confidence: 99%

See 2 more Smart Citations

Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review

Momenaei¹,

Tabatabaei²,

Soleimani³

et al. 2022

Int J Ophthalmol

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Late Opacification of a Hydrophilic Acrylic Monofocal Intraocular Lens with Hydrophobic Surface after Vitrectomy

Jo¹,

Park²

2020

J Korean Ophthalmol Soc

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Purpose: To report a case of late opacification of a hydrophilic acrylic monofocal intraocular lens (IOL) with a hydrophobic surface (CT SPHERIS ® 204) after a second vitrectomy in a patient with proliferative diabetic retinopathy. Case summary: A 50-year-old male with diabetes presented with decreased visual acuity in the right eye. He had undergone phacoemulsification and IOL (CT SPHERIS ® 204) implantation, vitrectomy, endolaser photocoagulation, and intravitreal bevacizumab (Avastin ®) injection due to vitreous hemorrhage in the right eye about 43 months prior. Four months after the surgery, presenting with recurrent vitreous hemorrhage and neovascularization of the angle, he underwent partial vitrectomy and intravitreal and intracameral bevacizumab (Avastin ® ) injection. The best-corrected visual acuity was 0.1 in the right eye when he presented with decreased visual acuity. Slit lamp examination of the right eye showed diffuse whitish granular opacity on the surface of the IOL. The IOL was explanted, together with the capsular bag, and examined using scanning electron microscopy and energy-dispersive X-ray spectroscopy. Conclusions: This case is the first to report late opacification of a hydrophilic, acrylic monofocal IOL with a hydrophobic surface, the CT SPHERIS ® 204. It is necessary to be cautious in using this type of lens in patients with diabetic retinopathy.

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Intraocular lens opacification during pars-plana vitrectomy

Chen¹,

Y²,

Wang³

et al. 2023

Indian Journal of Ophthalmology - Case Reports

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Intraocular lens (IOL) opacification after cataract surgery has been widely reported, but opacification during pars-plana vitrectomy (PPV) has not been reported. In our case, a 59-year-old male patient underwent PPV. During the surgery, IOL was found to be cloudy, and the area accounted for half of IOL. The surgical field was not affected. At the end of surgery, the degree of opacification decreased significantly. On the first day after surgery, IOL was completely transparent. IOL opacification may be caused by condensation and does not affect retina observation during PPV. It is not necessary to remove and replace the IOL immediately.

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Intraoperative Opacification of a Hydrophilic Acrylic With Hydrophobic Surface IOL With Spontaneous Resolution in 24 Hours

Abstract: The description of the temporary IOL opacification phenomenon due to condensation could be useful to cataract surgeons, who might avoid cold storage of IOLs. The known self-resolution of this type of IOL opacification makes advisable to delay IOL surgical explantation in these cases.

Cited by 3 publications

References 7 publications

Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review

Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review

Late Opacification of a Hydrophilic Acrylic Monofocal Intraocular Lens with Hydrophobic Surface after Vitrectomy

Intraocular lens opacification during pars-plana vitrectomy

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