Calcification of hydrophilic acrylic intraocular lenses in combined phacovitrectomy surgery

Journal of Cataract and Refractive Surgery
Nathan J WalkerChetan K Patel

Abstract

Two cases of postoperative intraocular lens (IOL) calcification in patients implanted with the Akreos Adapt IOL at the time of combined phacovitrectomy are described, along with clinical review of all patients implanted with this IOL type at our institution between November 2006 and September 2008. The IOLs explanted from the 2 cases were examined using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX). The SEM of the explanted IOLs showed crystalline anterior surface and subsurface deposits; by EDX, the deposits showed high concentrations of calcium and phosphorous, consistent with calcium apatite. Twenty patients (20 eyes) attended for cohort review, and none showed IOL opacification. The reason calcification occurred in the 2 cases remains unknown, but clinicians should be aware of this potential complication. No author has a financial or proprietary interest in any material or method mentioned.

References

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Nov 1, 2001·Journal of Cataract and Refractive Surgery·A K YuD Y Fong
Jul 11, 2002·Journal of Cataract and Refractive Surgery·Alexis K F Yu, Anita S Y Ng
Sep 22, 2006·The British Journal of Ophthalmology·Nathaniel E Knox CartwrightDavid J P Ferguson
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Nov 26, 2008·Journal of Cataract and Refractive Surgery·Shiu Ting MakRaymond Kwok-Kay Tse

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Citations

Sep 27, 2012·Cornea·Irmingard M NeuhannJens M Rohrbach
Feb 26, 2013·Oman Journal of Ophthalmology·Waseem Qureshi, Raal Obikpo
Jan 16, 2013·Journal of Cataract and Refractive Surgery·Priscilla de Almeida JorgeNewton Kara
Dec 19, 2012·Journal of Cataract and Refractive Surgery·Bruna V VenturaMarcony R Santhiago
May 1, 2016·American Journal of Ophthalmology·Sotirios P GartaganisPetros G Koutsoukos
Oct 5, 2016·Journal of Cataract and Refractive Surgery·Paula Bompastor-RamosJoaquim N Murta
Oct 28, 2016·Retinal Cases & Brief Reports·Rahul N Khurana, Liliana Werner
Jan 1, 2019·Ceská a slovenská oftalmologie : casopis Ceské oftalmologické spolecnosti a Slovenské oftalmologické spolecnosti·J KrásnýH Šubrtová
May 9, 2015·European Journal of Ophthalmology·Roberto Fernández-BuenagaAlberto Triviño
Jan 21, 2021·Ophthalmic Surgery, Lasers & Imaging Retina·F Hakan OnerLiliana Werner
Aug 11, 2020·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Jia Yu NgPatrick Merz
Apr 16, 2020·American Journal of Ophthalmology Case Reports·Kazuya YamashitaSeiichiro Hata
Jan 11, 2020·Retinal Cases & Brief Reports·Jeremy A Lavine, Sumit Sharma

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