Skip to main content
Top
Published in: International Ophthalmology 4/2018

01-08-2018 | Case Report

Postoperative diffuse opacification of a hydrophilic acrylic intraocular lens: analysis of an explant

Authors: Gian Maria Cavallini, Veronica Volante, Luca Campi, Michele De Maria, Elisa Fornasari, Giancarlo Urso

Published in: International Ophthalmology | Issue 4/2018

Login to get access

Abstract

Purpose

We describe the clinicopathological and ultrastructural features of an opaque single-piece hydrophilic acrylic intraocular lens (IOL) explanted from a patient.

Method

The main outcome of this report is the documentation of calcium deposits confirmed by surface analysis. The decrease in visual acuity was due to the opacification of the IOL. The opacification involved both the optic plate and the haptics.

Results

The analysis at the scansion electron microscope revealed that the opacity was caused by the deposition of calcium and phosphate within the lens optic and haptics.

Conclusion

This is the first case about the opacification of an Oculentis L-313. The opacification was characterized by calcium and phosphate deposition probably due to a morphological alteration of the posterior surface of the IOL.
Literature
1.
go back to reference Pandey KS, Werner L, Apple DJ, Kaskaloglu M (2002) Hydrophilic acrylic intraocular lens optic and haptics opacification in a diabetic patient: bilateral case report and clinicopathologic correlation. Ophthalmology 109(11):2042–2051CrossRefPubMed Pandey KS, Werner L, Apple DJ, Kaskaloglu M (2002) Hydrophilic acrylic intraocular lens optic and haptics opacification in a diabetic patient: bilateral case report and clinicopathologic correlation. Ophthalmology 109(11):2042–2051CrossRefPubMed
2.
go back to reference Chehade M, Elder MJ (1997) Intraocular lens materials and styles: a review. Aust N Z J Ophthalmol 25:255–263CrossRefPubMed Chehade M, Elder MJ (1997) Intraocular lens materials and styles: a review. Aust N Z J Ophthalmol 25:255–263CrossRefPubMed
3.
go back to reference Schauersberger J, Kruger A, Abela A et al (1999) Course of postoperative inflammation after implantation of 4 types of foldable intraocular lenses. J Cataract Refract Surg 25:1116–1120CrossRefPubMed Schauersberger J, Kruger A, Abela A et al (1999) Course of postoperative inflammation after implantation of 4 types of foldable intraocular lenses. J Cataract Refract Surg 25:1116–1120CrossRefPubMed
4.
go back to reference Hollick EJ, Spalton DJ, Ursell PG (1999) Surface cytologic features on intraocular lenses: can increased biocompatibility have disadvantages? Arch Ophthalmol 117:872–878CrossRefPubMed Hollick EJ, Spalton DJ, Ursell PG (1999) Surface cytologic features on intraocular lenses: can increased biocompatibility have disadvantages? Arch Ophthalmol 117:872–878CrossRefPubMed
5.
go back to reference Apple DJ, Werner L, Escobar-Gomez M, Pandey SK (2000) Deposits on the optical surfaces of Hydroview intraocular lenses. J Cataract Refract Surg 26:796–797CrossRefPubMed Apple DJ, Werner L, Escobar-Gomez M, Pandey SK (2000) Deposits on the optical surfaces of Hydroview intraocular lenses. J Cataract Refract Surg 26:796–797CrossRefPubMed
6.
go back to reference Pavlovic S, Magdowski G, Brueckel B (2001) Ultrastructural analysis of opacities seen in a hydrophilic acrylic intraocular lens. Eye 15:657–659CrossRefPubMed Pavlovic S, Magdowski G, Brueckel B (2001) Ultrastructural analysis of opacities seen in a hydrophilic acrylic intraocular lens. Eye 15:657–659CrossRefPubMed
7.
go back to reference Werner L (2007) Cuases of intraocular lens opacification or discoloration. J Cataract Refract Surg 33:713–726CrossRefPubMed Werner L (2007) Cuases of intraocular lens opacification or discoloration. J Cataract Refract Surg 33:713–726CrossRefPubMed
8.
go back to reference Cavallini GM, Campi L, Masini C, Pelloni S, Pupino A (2007) Bimanual microphacoemulsification versus coaxial miniphacoemulsification: prospective study. J Cataract Refract Surg 33(3):387–392CrossRefPubMed Cavallini GM, Campi L, Masini C, Pelloni S, Pupino A (2007) Bimanual microphacoemulsification versus coaxial miniphacoemulsification: prospective study. J Cataract Refract Surg 33(3):387–392CrossRefPubMed
9.
go back to reference Cavallini GM, Masini C, Campi L, Pelloni S (2008) Capsulorhexis phimosis after bimanual microphacoemulsification and in-the-bag implantation of the Akreos MI60 intraocular lens. J Cataract Refract Surg 34(9):1598–1600CrossRefPubMed Cavallini GM, Masini C, Campi L, Pelloni S (2008) Capsulorhexis phimosis after bimanual microphacoemulsification and in-the-bag implantation of the Akreos MI60 intraocular lens. J Cataract Refract Surg 34(9):1598–1600CrossRefPubMed
10.
go back to reference Bompastor-Ramos P, Povoa J, Lobo C, Rodrigeuz AE, Alioò JL, Werner L, Murta JN (2016) Late postoperative opacification of a hydrophilic–hydrophobic acrylic intraocular lens. J Cataract Refract Surg 42:1324–1331CrossRefPubMed Bompastor-Ramos P, Povoa J, Lobo C, Rodrigeuz AE, Alioò JL, Werner L, Murta JN (2016) Late postoperative opacification of a hydrophilic–hydrophobic acrylic intraocular lens. J Cataract Refract Surg 42:1324–1331CrossRefPubMed
12.
go back to reference Hong JW, Roh IH, Bae SR (2007) Opacification of hydrophilic acrylic intraocular lens. J Korean J Optom Vis Sci 6:68–71 Hong JW, Roh IH, Bae SR (2007) Opacification of hydrophilic acrylic intraocular lens. J Korean J Optom Vis Sci 6:68–71
13.
go back to reference Forlini M, Dell’Aversana Orabona G, Bratu AI, Rossini P, Cavallini GM, Forlini C (2013) Akreos Adapt AO intraocular lens opacification: a case report. Case Rep Ophthalmol 4:151–154CrossRefPubMedPubMedCentral Forlini M, Dell’Aversana Orabona G, Bratu AI, Rossini P, Cavallini GM, Forlini C (2013) Akreos Adapt AO intraocular lens opacification: a case report. Case Rep Ophthalmol 4:151–154CrossRefPubMedPubMedCentral
14.
go back to reference Mamalis N, Brubaker J, Davis D, Espandard L, Werner L (2008) Complication of foldable intraocular lenses requiring explantation or secondary intervention—2007 survey update. J Cataract Refract Surg 34:1584–1591CrossRefPubMed Mamalis N, Brubaker J, Davis D, Espandard L, Werner L (2008) Complication of foldable intraocular lenses requiring explantation or secondary intervention—2007 survey update. J Cataract Refract Surg 34:1584–1591CrossRefPubMed
15.
go back to reference Neuhann IM, Werner L, Izak AM, Pandey SK, Kleinmann G, Mamalis N, Neuhann TF, Apple DJ (2004) Late postoperative opacification of a hydrophilic acrylic (hydrogel) intraocular lens: a clinicopathological analysis of 106 explants. Ophthalmology 111(11):2094–2101CrossRefPubMed Neuhann IM, Werner L, Izak AM, Pandey SK, Kleinmann G, Mamalis N, Neuhann TF, Apple DJ (2004) Late postoperative opacification of a hydrophilic acrylic (hydrogel) intraocular lens: a clinicopathological analysis of 106 explants. Ophthalmology 111(11):2094–2101CrossRefPubMed
16.
go back to reference Park DI, Ha SW, Park SB, Lew H (2011) Hydrophilic acrylic intraocular lens optic opacification in a diabetic patient. Jpn J Ophthalmol 55(6):595–599CrossRefPubMed Park DI, Ha SW, Park SB, Lew H (2011) Hydrophilic acrylic intraocular lens optic opacification in a diabetic patient. Jpn J Ophthalmol 55(6):595–599CrossRefPubMed
17.
go back to reference Werner L, Wilbanks G, Ollerton A, Michelson J (2012) Localized calcification of hydrophilic acrylic intraocular lenses in association with intracameral injection of gas. J Cataract Refract Surg 38(4):720–721CrossRefPubMed Werner L, Wilbanks G, Ollerton A, Michelson J (2012) Localized calcification of hydrophilic acrylic intraocular lenses in association with intracameral injection of gas. J Cataract Refract Surg 38(4):720–721CrossRefPubMed
18.
go back to reference Hunter B, Werner L, Memmen JE, Mamalis N (2005) Postoperative localized opacification of the new Memory Lens design: analyses of an explant. J Cataract Refract Surg 31:1836–1840CrossRefPubMed Hunter B, Werner L, Memmen JE, Mamalis N (2005) Postoperative localized opacification of the new Memory Lens design: analyses of an explant. J Cataract Refract Surg 31:1836–1840CrossRefPubMed
19.
go back to reference Neuhann IM, Kleinmann G, David JA (2008) A new classification of calcification of intraocular lenses. Ophtalmology 115:73–79CrossRef Neuhann IM, Kleinmann G, David JA (2008) A new classification of calcification of intraocular lenses. Ophtalmology 115:73–79CrossRef
Metadata
Title
Postoperative diffuse opacification of a hydrophilic acrylic intraocular lens: analysis of an explant
Authors
Gian Maria Cavallini
Veronica Volante
Luca Campi
Michele De Maria
Elisa Fornasari
Giancarlo Urso
Publication date
01-08-2018
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 4/2018
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-017-0603-6

Other articles of this Issue 4/2018

International Ophthalmology 4/2018 Go to the issue