Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Dec 6;13(12):e20193.
doi: 10.7759/cureus.20193. eCollection 2021 Dec.

An Unusual Case of Opacified Intraocular Lens Exchange After 50 Months: A Case Report

Ayesha Ahmed  1 , Bilal Malik  1 , Muhammad Khan  2
Affiliations
Case Reports

An Unusual Case of Opacified Intraocular Lens Exchange After 50 Months: A Case Report

Ayesha Ahmed et al. Cureus. .

Abstract

A 65-year-old male presented with decreased vision (20/200) from the past nine months after having undergone cataract surgery (phacoemulsification) four years ago. Anterior segment examination revealed diffusely opacified intraocular lens, and he was diagnosed as a case of delayed intraocular lens (IOL) opacification. IOL lens exchange surgery was planned. A per-operative assessment revealed significant fibrosis of IOL with the capsule. Viscoelastic was used for viscodissection, and the IOL was mobilized and removed. Capsular integrity was ensured and achieved, and a new foldable IOL was implanted in the bag. Best-corrected visual acuity (BCVA) after the surgery improved to 20/20. Here, we discuss different IOL exchange techniques and report our successful viscodissection despite significant fibrosis and the time interval of four years since the initial implant.

Keywords: crystalline lens; intraocular implants; long term complication; opacification; viscodissection.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. One opacified haptic out of the capsular bag
Figure 2
Figure 2. Intact, opacified IOL outside the eye. Notice the small knick on the optic
Figure 3
Figure 3. Aphakic, just before inserting the new IOL. Notice the fibrosed yet intact capsule
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Prevalence and causes of vision loss in East Asia in 2015: magnitude, temporal trends and projections. Cheng CY, Wang N, Wong TY, et al. Br J Ophthalmol. 2020;104:616–622. - PubMed
    1. Phakic intraocular lens explantation: causes in 240 cases. Alió JL, Toffaha BT, Peña-Garcia P, Sádaba LM, Barraquer RI. J Refract Surg. 2015;31:30–35. - PubMed
    1. Late opacification of a hydrophilic acrylic intraocular lens in Europe. Mojzis P, Studeny P, Werner L, Piñero DP. Eur J Ophthalmol. 2016;26:24–26. - PubMed
    1. Intraocular lens exchange through a 3.2-mm corneal incision for opacified intraocular lenses. Kubaloglu A, Sari ES, Koytak A, Cinar Y, Erol K, Ozerturk Y. Indian J Ophthalmol. 2011;59:17–21. - PMC - PubMed
    1. Perioperative complications of intraocular lens exchange in patients with opacified Aqua-Sense lenses. Dagres E, Khan MA, Kyle GM, Clark D. https://doi.org/10.1016/j.jcrs.2004.04.055. J Cataract Refract Surg. 2004;30:2569–2573. - PubMed

Publication types

LinkOut - more resources