Opacification of a scleral-sutured Akreos AO60 intraocular lens in the absence of concurrent or subsequent surgery: a case series

Scleral-fixated intraocular lenses (SCIOLs) are an increasingly used option to place intraocular lenses in patients with compromised capsules. Akreos A060 is an acrylic hydrophilic lens that is commonly used for patients in need of SCIOL. As with other hydrophilic lenses, the Akreos A060 lens is associated with a risk of developing postoperative opacifications. To date, multiple case reports and case series have documented the development of opacifications in the Akreos A060 lens in the setting of subsequent intraocular surgery, most commonly after surgery involving gas or air, as commonly used in many routine retinal and corneal surgeries. Many theories have been proposed to explain this phenomenon, but none has been confirmed. This short case series presents two patients with Akreos A060 lenses who incidentally developed lens opacification in the absence of concurrent or subsequent intraocular surgery.