Pearly White Appearance - Cataract or IOL Opacification?

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Published

2024-12-05

Keywords:

Cataract, Postoperative Complications, Phacoemulsification, Hydrophilic IOL, Lens opacification.

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Issue

Vol. 12 No. 03 (2024): UP Journal of Ophthalmology

Section

Case Report

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

© Author, Open Access. This article is licensed under a CC Attribution 4.0 License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit https://creativecommons.org/licenses/byncsa/4.0/.

Authors

  • Kshama Dwivedi Motilal Nehru Medical College, Prayagraj
  • Vibha Singh Motilal Nehru Medical College, Prayagraj
  • Bharti Ekka Motilal Nehru Medical College, Prayagraj
  • Mahima Chand Motilal Nehru Medical College, Prayagraj

Abstract

Aim – To report a case of late opacification of single piece hydrophilic acrylic intraocular lens after uneventful phacoemulsification surgery. Methods – A 55-year-old female presented with gradual diminution of vision in right eye for past six months. She had undergone phacoemulsification surgery with hydrophilic IOL implantation two years back. Presently her vision was finger counting at two meters. Slit lamp examination with pupil dilatation revealed IOL opacification. Results – Intraocular lens exchange was performed, hydrophilic IOL was replaced by hydrophobic acrylic IOL by temporal incision. Patient's best corrected visual acuity was 6/18, due to presence of synchesis scintillans as predisposing factor. At 6 month follow up, patient maintained the vision. Conclusion – IOL opacification can be successfully managed by IOL exchange. Patients should be informed about this extremely rare complication of cataract surgery, to avoid unnecessary litigation.

How to Cite

1.
Kshama Dwivedi, Vibha Singh, Bharti Ekka, Mahima Chand. Pearly White Appearance - Cataract or IOL Opacification?. UPJO [Internet]. 2024 Dec. 5 [cited 2025 Nov. 15];12(03):34-5. Available from: https://upjo.org/index.php/upjo/article/view/560

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