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Case Reports
. 2004 Jan;30(1):115-22.
doi: 10.1016/S0886-3350(03)00461-9.

Late postoperative opacification of MemoryLens hydrophilic acrylic intraocular lenses: case series and review

Affiliations
Case Reports

Late postoperative opacification of MemoryLens hydrophilic acrylic intraocular lenses: case series and review

Mana Tehrani et al. J Cataract Refract Surg. 2004 Jan.

Erratum in

  • J Cataract Refract Surg. 2004 Jul;30(7):1391

Abstract

Purpose: To report clinical and spectrographic analyses of 2 explanted hydrophilic acrylic intraocular lenses (IOLs).

Setting: John A. Moran Eye Center, Salt Lake City, Utah, USA, and Johannes Gutenberg-University, Department of Ophthalmology, Mainz, Germany.

Methods: We report 6 cases of opacification of MemoryLens IOLs (Ciba Vision) that occurred approximately 2 years after implantation. The anterior and posterior surfaces of the IOLs had a white, frosted appearance, and the IOLs' interior looked brown, similar to the appearance of a brunescent cataract. Two of the IOLs were explanted because of a significant decrease in visual acuity. The IOLs were sent for further clinicopathologic analysis including scanning electron microscopy and energy dispersive x-ray spectroscopy (EDX).

Results: Microscopic analysis revealed multiple, fine, granular deposits of various sizes on the surface of the lens optics. The EDX analysis showed the presence of calcium within the deposits.

Conclusions: Our cases show that hydrophilic acrylic IOLs can opacify even years after implantation. Analysis of the explanted IOLs revealed calcification.

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