J Korean Ophthalmol Soc.  2012 Aug;53(8):1172-1176. 10.3341/jkos.2012.53.8.1172.

A Case of Hydrophilic Acrylic Intraocular Lens Opacification in a Patient with Proliferative Diabetic Retinopathy

• Moon K
• Kim KS
• Kim YC

• KMID: 2215963
• DOI: http://doi.org/10.3341/jkos.2012.53.8.1172

Abstract

PURPOSE
To report a case of hydrophilic acrylic intraocular lens (IOL) opacification in a patient who underwent vitrectomy and cataract surgery for the treatment of diabetic retinopathy.
CASE SUMMARY
A 54-year-old female complained of blurred vision for 15 months after having combined vitrectomy and phacoemulsification with IOL (Rayner(R) Superflex(R) 620H) implantation for the treatment of high-risk proliferative diabetic retinopathy. On slit-lamp examination, IOL opacification was evident. IOL exchange was performed and the explanted IOL analyzed. Scanning electron microscopy (SEM) revealed the presence of translucent granular deposits on the anterior subsurface of the IOL. Energy dispersive X-ray spectroscopy (EDS) demonstrated calcium and phosphate deposition within the IOL optic.

Keyword

Diabetic retinopathy; Hydrophilic acrylic IOL; Opacification

MeSH Terms

Calcium
Cataract
Diabetic Retinopathy
Female
Humans
Lenses, Intraocular
Microscopy, Electron, Scanning
Middle Aged
Phacoemulsification
Spectrometry, X-Ray Emission
Vision, Ocular
Vitrectomy
Calcium

Figure

• 

  Figure 1 Slitlamp examination shows transparent granular opacification on the anterior surface of the explanted intraocular lens.

• 

  Figure 2 Scanning electron microscopic images from the explanted intraocular lens (original magnification × 1000). (A) Image of the anterior surface showing the densely packed ovoid deposits. (B) Image of cut section of the optic showing the spherical deposits beneath the anterior surface of intraocular lens.

• 

  Figure 3 The energy-dispersive X-ray analysis showed the presence of calcium and phosphate (top) within the deposits of the anterior lens surface (pink rectangle area) (bottom).

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