Postoperative intraocular lens opacification

Intraocular lens (IOL) opacification is rare but may occur after non-Descemet stripping automated endothelial keratoplasty (n-DSAEK) or intravitreal air injection after pars plana vitrectomy (PPV). We reported two cases of IOL opacification within the pupillary region. Chart was retrospectively revi...

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Main Authors: Shang-Te Ma, Chung-May Yang, Yu-Chih Hou
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=1;spage=49;epage=51;aulast=Ma
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author Shang-Te Ma
Chung-May Yang
Yu-Chih Hou
author_facet Shang-Te Ma
Chung-May Yang
Yu-Chih Hou
author_sort Shang-Te Ma
collection DOAJ
description Intraocular lens (IOL) opacification is rare but may occur after non-Descemet stripping automated endothelial keratoplasty (n-DSAEK) or intravitreal air injection after pars plana vitrectomy (PPV). We reported two cases of IOL opacification within the pupillary region. Chart was retrospectively reviewed. The predisposing factors and the visual acuity were analyzed. The opacification was evaluated by anterior segment optical coherence tomography (AS-OCT). A 68-year-old healthy woman with pseudophakic bullous keratopathy underwent uneventful n-DSAEK in the right eye. Postoperative vision was 20/40. Nine months after surgery, fine granular deposits were seen in the anterior surface of IOL. The vision decreased to 20/50 but remained stable during 3-year follow-up. A 61-year-old man with diabetes mellitus received PPV and silicone oil tamponade for retinal detachment and vitreal hemorrhage after cataract surgery in the right eye. Removal of silicone oil and intravitreal air injection was performed, and postoperative vision was 20/100. Granular deposits were observed in hydrophobic acrylic IOL 1 month after surgery. The visual acuity decreased to 20/120. AS-OCT revealed hyperreflective materials in the anterior surface of IOL in both cases. An uncommon phenomenon of IOL opacification in the pupil region may occur after n-DSAEK or PPV, which may be associated with intraocular air injection or systemic diseases.
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spelling doaj.art-d4f557eca7c14462a741108c4d8cf9ae2022-12-22T03:17:32ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722018-01-0181495110.4103/tjo.tjo_78_17Postoperative intraocular lens opacificationShang-Te MaChung-May YangYu-Chih HouIntraocular lens (IOL) opacification is rare but may occur after non-Descemet stripping automated endothelial keratoplasty (n-DSAEK) or intravitreal air injection after pars plana vitrectomy (PPV). We reported two cases of IOL opacification within the pupillary region. Chart was retrospectively reviewed. The predisposing factors and the visual acuity were analyzed. The opacification was evaluated by anterior segment optical coherence tomography (AS-OCT). A 68-year-old healthy woman with pseudophakic bullous keratopathy underwent uneventful n-DSAEK in the right eye. Postoperative vision was 20/40. Nine months after surgery, fine granular deposits were seen in the anterior surface of IOL. The vision decreased to 20/50 but remained stable during 3-year follow-up. A 61-year-old man with diabetes mellitus received PPV and silicone oil tamponade for retinal detachment and vitreal hemorrhage after cataract surgery in the right eye. Removal of silicone oil and intravitreal air injection was performed, and postoperative vision was 20/100. Granular deposits were observed in hydrophobic acrylic IOL 1 month after surgery. The visual acuity decreased to 20/120. AS-OCT revealed hyperreflective materials in the anterior surface of IOL in both cases. An uncommon phenomenon of IOL opacification in the pupil region may occur after n-DSAEK or PPV, which may be associated with intraocular air injection or systemic diseases.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=1;spage=49;epage=51;aulast=MaIntraocular air injectionintraocular lensnon-Descemet stripping automated endothelial keratoplastyopacification
spellingShingle Shang-Te Ma
Chung-May Yang
Yu-Chih Hou
Postoperative intraocular lens opacification
Taiwan Journal of Ophthalmology
Intraocular air injection
intraocular lens
non-Descemet stripping automated endothelial keratoplasty
opacification
title Postoperative intraocular lens opacification
title_full Postoperative intraocular lens opacification
title_fullStr Postoperative intraocular lens opacification
title_full_unstemmed Postoperative intraocular lens opacification
title_short Postoperative intraocular lens opacification
title_sort postoperative intraocular lens opacification
topic Intraocular air injection
intraocular lens
non-Descemet stripping automated endothelial keratoplasty
opacification
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2018;volume=8;issue=1;spage=49;epage=51;aulast=Ma
work_keys_str_mv AT shangtema postoperativeintraocularlensopacification
AT chungmayyang postoperativeintraocularlensopacification
AT yuchihhou postoperativeintraocularlensopacification