Late clouding of an acrylic intraocular lens following routine phacoemulsification

Chang, Bernard; Davey, Keith; Gupta, Mohit; Hutchinson, Colin

doi:10.1038/eye.1999.241

Cited by 48 publications

(24 citation statements)

References 11 publications

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“…Early fogging of silicone implants 2 and late fogging of acrylic implants 3 have been previously reported in sporadic cases. More recently, [4][5][6] there have been a few reports of late surface opacification of hydrogel implants of different manufacturers from centres in Europe, Canada, Australia and the Far East.…”

Section: Introductionmentioning

confidence: 99%

Late surface opacification of Hydroview® intraocular lenses

Habib¹,

Freegard²,

Gock³

et al. 2002

Eye

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Methods Twenty one eyes which underwent uncomplicated phacoemulsification and Hydroview lens implantation with good visual recovery, presenting at 46-146 weeks post-surgery with visual deterioration and glare symptoms resulting from opacification of the implants, were included in the study. Twelve eyes had severe opacification, of which nine underwent intraocular lens exchange and three more are still awaiting surgery. The method of explantation is described. The explanted intraocular lenses were examined using light microscopy, scanning electron microscopy and x-ray microanalysis using a light element detector. Results Light microscopy and scanning electron microscopy revealed diffuse granular deposits of approximately 5 m diameter covering the optic surfaces but sparing the lens haptics. Light microscopic staining techniques and x-ray microanalysis confirm the major component of the deposits to be calcium phosphate salts. Conclusions Late opacification of Hydroview intraocular lens implants is uncommon and aetiology seems to be multifactorial. Implant exchange is necessary to restore sight in some cases. As new materials are increasingly used it is important to highlight such unusual occurrences. Eye (2002) 16, 69-74.

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Section: Introductionmentioning

confidence: 99%

Late surface opacification of Hydroview® intraocular lenses

Habib¹,

Freegard²,

Gock³

et al. 2002

Eye

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“…This was this SC-60B-0UV (DGR incorporated, Medical Developmental Research, Inc., USA) in which we, as previously reported by others, noted a high incidence of postoperative opacification. 1 This report presents a retrospective assessment of this complication 4 years after surgery.…”

Section: Introductionmentioning

confidence: 99%

Intralenticular opacification of hydrophilic acrylic intraocular lenses

Saeed

Jafree

Cock

2004

Eye

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“…They included surface deposition of calcium and phosphate, as in the Hydroview IOL (Bausch & Lomb Surgical) and MemoryLens IOL (Ciba Vision); within the substance of the optic, as in the SC60B-OUV IOL (MDR) IOL; or a combination of both, as in the AquaSense IOL (OII). [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] However, the overall pattern of opacification within a given IOL design (with all the lenses being manufactured from the same IOL material) was generally the same. In the cases reported here, pathologic analyses suggested the presence of calcium/phosphate as part of the deposit composition and can therefore be considered dystrophic calcification.…”

Section: Discussionmentioning

confidence: 99%

“…The opacification patterns included the formation of surface deposits as well as intralenticular deposition of hydroxyapatite. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] We present 2 cases of hydrophilic acrylic IOLs (Stabibag and Bigbag, Ioltech) that had to be explanted because of late postoperative opacification of their optic component, causing significant visual symptoms. In both cases, the lens opacification was caused by dystrophic calcification, but the pattern of calcium deposition on the 2 IOLs was different.…”

mentioning

confidence: 99%

Two opacification patterns of the same hydrophilic acrylic polymer: Case reports and clinicopathological correlation

Neuhann

Stodůlka

Werner

et al. 2006

Journal of Cataract and Refractive Surgery

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We report 2 intraocular lenses (IOLs) manufactured from the same hydrophilic acrylic polymer by Ioltech that developed optic opacification. In both cases, the postoperative course after implantation of the IOLs was complicated by significant inflammatory reaction with fibrin formation in the anterior chamber. Pathologic analyses of the explanted IOLs were consistent with dystrophic calcification leading to optic opacification, but the pattern was different between the 2 IOL designs. Patient-related factors might have been responsible for this complication.

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Late clouding of an acrylic intraocular lens following routine phacoemulsification

Cited by 48 publications

References 11 publications

Late surface opacification of Hydroview® intraocular lenses

Late surface opacification of Hydroview® intraocular lenses

Intralenticular opacification of hydrophilic acrylic intraocular lenses

Two opacification patterns of the same hydrophilic acrylic polymer: Case reports and clinicopathological correlation

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