Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report
Abstract Background Hydrophilic intraocular lens opacification is a rare complication due to calcification. With current new surgical techniques, including lamellar endothelial keratoplasty and vitrectomies, this irreversible complication is becoming more common. In this case study, we present clini...
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| Format: | Article |
| Language: | English |
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BMC
2023-08-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03102-0 |
| _version_ | 1827635162722074624 |
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| author | Panos S. Gartaganis Panagiota D. Natsi Sotirios P. Gartaganis Petros G. Koutsoukos Evangelos Manousakis Efthymios Karmiris |
| author_facet | Panos S. Gartaganis Panagiota D. Natsi Sotirios P. Gartaganis Petros G. Koutsoukos Evangelos Manousakis Efthymios Karmiris |
| author_sort | Panos S. Gartaganis |
| collection | DOAJ |
| description | Abstract Background Hydrophilic intraocular lens opacification is a rare complication due to calcification. With current new surgical techniques, including lamellar endothelial keratoplasty and vitrectomies, this irreversible complication is becoming more common. In this case study, we present clinical and laboratory features of a case of Carlevale hydrophilic acrylic IOL calcification. Case presentation Observational case report of a single incident case. An 83-year-old man was referred to our ophthalmic department complaining of right eye vision blurring for six months. Slit-lamp biomicroscopy revealed IOL opacification. Deposits of calcium phosphate were found both on the IOL’s surface and inside it, according to thorough investigation using optical, scanning electron microscopy (SEM), and energy-dispersive X-ray (EDX) spectrometry. Conclusions To the best of our knowledge, this is the first case to describe the laboratory evidence of Carlevale hydrophilic IOL calcification, suggesting possible explanation mechanisms based on underlying pathology and surgical technique. It reminds us that these findings suggest that physicians should be aware of possible hydrophilic IOL calcification. |
| first_indexed | 2024-03-09T15:23:22Z |
| format | Article |
| id | doaj.art-62f1c78c450842f8a2ec12f8532a0af1 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-09T15:23:22Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-62f1c78c450842f8a2ec12f8532a0af12023-11-26T12:40:12ZengBMCBMC Ophthalmology1471-24152023-08-0123111010.1186/s12886-023-03102-0Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory reportPanos S. Gartaganis0Panagiota D. Natsi1Sotirios P. Gartaganis2Petros G. Koutsoukos3Evangelos Manousakis4Efthymios Karmiris5Department of Ophthalmology, 251 Hellenic Air Force General HospitalDepartment of Chemical Engineering, Laboratory of Inorganic and Analytical Chemistry, University of Patras and FORTH/ICE-HTDepartment of Ophthalmology, Medical School, University of PatrasDepartment of Chemical Engineering, Laboratory of Inorganic and Analytical Chemistry, University of Patras and FORTH/ICE-HTDepartment of Ophthalmology, 251 Hellenic Air Force General HospitalDepartment of Ophthalmology, 251 Hellenic Air Force General HospitalAbstract Background Hydrophilic intraocular lens opacification is a rare complication due to calcification. With current new surgical techniques, including lamellar endothelial keratoplasty and vitrectomies, this irreversible complication is becoming more common. In this case study, we present clinical and laboratory features of a case of Carlevale hydrophilic acrylic IOL calcification. Case presentation Observational case report of a single incident case. An 83-year-old man was referred to our ophthalmic department complaining of right eye vision blurring for six months. Slit-lamp biomicroscopy revealed IOL opacification. Deposits of calcium phosphate were found both on the IOL’s surface and inside it, according to thorough investigation using optical, scanning electron microscopy (SEM), and energy-dispersive X-ray (EDX) spectrometry. Conclusions To the best of our knowledge, this is the first case to describe the laboratory evidence of Carlevale hydrophilic IOL calcification, suggesting possible explanation mechanisms based on underlying pathology and surgical technique. It reminds us that these findings suggest that physicians should be aware of possible hydrophilic IOL calcification.https://doi.org/10.1186/s12886-023-03102-0Hydrophilic acrylic intraocular lensCalcificationOpacification |
| spellingShingle | Panos S. Gartaganis Panagiota D. Natsi Sotirios P. Gartaganis Petros G. Koutsoukos Evangelos Manousakis Efthymios Karmiris Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report BMC Ophthalmology Hydrophilic acrylic intraocular lens Calcification Opacification |
| title | Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report |
| title_full | Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report |
| title_fullStr | Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report |
| title_full_unstemmed | Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report |
| title_short | Explantation of a sutureless scleral fixated Carlevale intraocular lens due to calcification: a clinical and laboratory report |
| title_sort | explantation of a sutureless scleral fixated carlevale intraocular lens due to calcification a clinical and laboratory report |
| topic | Hydrophilic acrylic intraocular lens Calcification Opacification |
| url | https://doi.org/10.1186/s12886-023-03102-0 |
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