Opacification of the Optic of an Akreos Adapt Intraocular Lens

Overview

Journal Korean J Ophthalmol

Specialty Ophthalmology

Date 2010 Dec 18

PMID 21165238

Citations 10

Authors

Chong Eun Lee

Yu Cheol Kim

Sung Dong Chang

Affiliations

Soon will be listed here.

Abstract

A 60-year-old diabetic patient transferred to our retina clinic for a regular follow-up for diabetic retinopathy. He had uneventful cataract surgery at the time of pars plana vitrectomy in the right eye due to diabetic retinopathy at a private ophthalmologic hospital. Six months after the surgery, neovascular glaucoma with hyphema developed in the right eye and an Ahmed valve was implanted at our hospital. Ten months after cataract surgery, we found opacification of the intraocular lens (IOL) which was causing significant visual disturbance. At the time, the best corrected visual acuity (BCVA) in the right eye was hand motion. The IOL was explanted 45 months after the operation. Five months after explantation, the BCVA was 0.06. Unfortunately, pathologic analysis was not performed. Patient-related factors such as an anterior chamber reaction caused by hyphema might have been responsible for the opacification. To our knowledge, there are no previous reports of opacification of the Akreos Adapt IOL.

Citing Articles

Intraocular lens calcification in a patient with Ehlers-Danlos syndrome.

Maguire M, Munro D, Merz P, Laidlaw A, Auffarth G Am J Ophthalmol Case Rep. 2024; 35:102080.

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

Ahmed H, Subramanian S, Chalam K J Surg Case Rep. 2023; 2023(4):rjad181.

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Incidence and Risk of Scleral-Fixated Akreos (AO60) Lens Opacification: A Case Series.

Belin P, Kim J, Sheikh A, Winokur J, Rhee D, Deramo V J Vitreoretin Dis. 2023; 5(2):157-162.

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Intraoperative and Postoperative Intraocular Lens Opacifications: Analysis of 42545 Cases.

Wang X, Wu X, Dai Y, Huang Y J Ophthalmol. 2021; 2021:1285947.

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Anterior chamber intraocular lens - An effective alternative in traumatic and surgical aphakia in the era of scleral-fixated intraocular lens.

Mahapatra S, Mannem N Indian J Ophthalmol. 2021; 69(6):1404-1408.

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References

Pandey S, Werner L, Apple D . Calcium precipitation on the optical surfaces of a foldable intraocular lens: a clinicopathological correlation. Arch Ophthalmol. 2002; 120(3):391-3. DOI: 10.1001/archopht.120.3.391. View

Werner L . Causes of intraocular lens opacification or discoloration. J Cataract Refract Surg. 2007; 33(4):713-26. DOI: 10.1016/j.jcrs.2007.01.015. View

Werner L, Apple D, Kaskaloglu M, Pandey S . Dense opacification of the optical component of a hydrophilic acrylic intraocular lens: a clinicopathological analysis of 9 explanted lenses. J Cataract Refract Surg. 2001; 27(9):1485-92. DOI: 10.1016/s0886-3350(01)00841-0. View

Sher J, Gooi P, Dubinski W, Brownstein S, El-Defrawy S, Nash W . Comparison of the incidence of opacification of Hydroview hydrogel intraocular lenses with the ophthalmic viscosurgical device used during surgery. J Cataract Refract Surg. 2008; 34(3):459-64. DOI: 10.1016/j.jcrs.2007.10.029. View

Hunter B, Werner L, Memmen J, Mamalis N . Postoperative localized opacification of the new MemoryLens design: analyses of an explant. J Cataract Refract Surg. 2005; 31(9):1836-40. DOI: 10.1016/j.jcrs.2005.06.040. View

Tehrani M, Mamalis N, Wallin T, Dick H, Stoffelns B, Olson R . Late postoperative opacification of MemoryLens hydrophilic acrylic intraocular lenses: case series and review. J Cataract Refract Surg. 2004; 30(1):115-22. DOI: 10.1016/S0886-3350(03)00461-9. View

Neuhann I, Werner L, Izak A, Pandey S, Kleinmann G, Mamalis N . Late postoperative opacification of a hydrophilic acrylic (hydrogel) intraocular lens: a clinicopathological analysis of 106 explants. Ophthalmology. 2004; 111(11):2094-101. DOI: 10.1016/j.ophtha.2004.06.032. View

Werner L, Apple D, Escobar-Gomez M, Ohrstrom A, Crayford B, Bianchi R . Postoperative deposition of calcium on the surfaces of a hydrogel intraocular lens. Ophthalmology. 2000; 107(12):2179-85. DOI: 10.1016/s0161-6420(00)00416-4. View

Izak A, Werner L, Pandey S, Apple D . Calcification of modern foldable hydrogel intraocular lens designs. Eye (Lond). 2003; 17(3):393-406. DOI: 10.1038/sj.eye.6700341. View

10.

Pombo C, Bokser L, Casabiell X, Zugaza J, Capeans M, Salorio M . Partial characterization of a putative new growth factor present in pathological human vitreous. Graefes Arch Clin Exp Ophthalmol. 1996; 234(3):155-63. DOI: 10.1007/BF00462027. View

11.

Macky T, Werner L, Soliman M, Pandey S, Izak A, Apple D . Opacification of two hydrophilic acrylic intraocular lenses 3 months after implantation. Ophthalmic Surg Lasers Imaging. 2003; 34(3):197-202. View

12.

Werner L, Hunter B, Stevens S, Chew J, Mamalis N . Role of silicon contamination on calcification of hydrophilic acrylic intraocular lenses. Am J Ophthalmol. 2006; 141(1):35-43. DOI: 10.1016/j.ajo.2005.08.045. View

13.

Frohn A, Dick H, Augustin A, Grus F . Late opacification of the foldable hydrophilic acrylic lens SC60B-OUV. Ophthalmology. 2001; 108(11):1999-2004. DOI: 10.1016/s0161-6420(01)00778-3. View

14.

Kotagiri A, Nyunt K, Fox P . Surface deposits on the optic of an Akreos Fit IOL. J Cataract Refract Surg. 2007; 33(10):1678-9. DOI: 10.1016/j.jcrs.2007.05.050. View