Unusual pattern of glistening formation on a 3-piece hydrophobic acrylic intraocular lens

Journal of Cataract and Refractive Surgery
L WernerManfred Tetz

Abstract

A 3-piece hydrophobic acrylic intraocular lens (IOL) was explanted from the left eye of a 68-year-old patient 26 days after implantation because of glistenings that impaired fundus visualization. The effect of the glistenings on the patient's visual function was unknown because of retinal issues. The fluid-filled vacuoles within the IOL optic were different from those described in clinical and experimental studies. They were initially observed 4 days after surgery and were very large. The glistening formation was reproduced experimentally by immersing the explanted IOL in balanced salt solution at 37 degrees C and analyzing the IOL at room temperature for up to 2 weeks. An IOL of the same design was used as a control. Although both IOLs were subjected to the same laboratory conditions, gross and light microscopic analyses confirmed that the pattern of the glistening formation differed between them. Analyses of the explanted IOL and the control IOL under differential scanning calorimetry, as well as by attenuated total reflection Fourier transform infrared spectroscopy, revealed slight differences between the IOLs.

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Citations

Feb 19, 2011·Japanese Journal of Ophthalmology·Shinichiro YoshidaKensaku Miyake
Jul 10, 2014·Indian Journal of Ophthalmology·Yunhai DaiLixin Xie
Jan 27, 2015·Current Eye Research·Manfred Tetz, Matthew R Jorgensen
May 29, 2012·American Journal of Ophthalmology·Ken HayashiHideyuki Hayashi
Jun 26, 2012·Journal of Cataract and Refractive Surgery·Christophe PagnoulleMarie-Claire Gillet-De Pauw
Jun 26, 2012·Journal of Cataract and Refractive Surgery·Joseph ColinCedric Schweitzer
Nov 30, 2010·Journal of Cataract and Refractive Surgery·Mayumi NagataShinichiro Yoshida
Jul 27, 2010·Journal of Cataract and Refractive Surgery·Liliana Werner
Dec 9, 2009·Journal of Cataract and Refractive Surgery·Joseph ColinDavid Touboul
Aug 2, 2011·Journal of Refractive Surgery·Joseph Colin, Isabelle Orignac
Nov 21, 2015·Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society·Hiroyuki MatsushimaAndrzej Grzybowski
Oct 15, 2013·Acta Ophthalmologica·Cedric SchweitzerJoseph Colin
Oct 30, 2014·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Dimitriya BozukovaMarie-Claire De Pauw-Gillet
Apr 21, 2019·Journal of Cataract and Refractive Surgery·Jan N WeindlerGerd U Auffarth
Feb 13, 2020·Journal of Cataract and Refractive Surgery·Tetsuro OshikaKazunori Miyata
Feb 25, 2020·Journal of Cataract and Refractive Surgery·Vincent SpiezioIlko K Ilev
Aug 8, 2019·European Journal of Ophthalmology·Nick StanojcicDavid Ps O'Brart
Apr 10, 2020·Journal of Cataract and Refractive Surgery·Nick StanojcicJi-Peng Olivia Li
May 3, 2020·Journal of Cataract and Refractive Surgery·Tetsuro OshikaKazunori Miyata
May 3, 2020·Journal of Cataract and Refractive Surgery·Vincent SpiezioIlko K Ilev
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