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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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Autores principales: Ma, Shang-Te, Yang, Chung-May, Hou, Yu-Chih
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890585/
https://www.ncbi.nlm.nih.gov/pubmed/29675350
http://dx.doi.org/10.4103/tjo.tjo_78_17
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author Ma, Shang-Te
Yang, Chung-May
Hou, Yu-Chih
author_facet Ma, Shang-Te
Yang, Chung-May
Hou, Yu-Chih
author_sort Ma, Shang-Te
collection PubMed
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 pubmed-58905852018-04-19 Postoperative intraocular lens opacification Ma, Shang-Te Yang, Chung-May Hou, Yu-Chih Taiwan J Ophthalmol Case Report 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. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC5890585/ /pubmed/29675350 http://dx.doi.org/10.4103/tjo.tjo_78_17 Text en Copyright: © 2018 Taiwan J Ophthalmol http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Ma, Shang-Te
Yang, Chung-May
Hou, Yu-Chih
Postoperative intraocular lens 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 Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890585/
https://www.ncbi.nlm.nih.gov/pubmed/29675350
http://dx.doi.org/10.4103/tjo.tjo_78_17
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