Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments
| Autor: | Robert J McDonald, Kieren Darcy, Michael Coote, Liliana Werner, Elsie Chan, Andrew Apel, John J. Males, Mark J. Donaldson |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Pars plana Posterior Eye Segment medicine.medical_specialty genetic structures medicine.medical_treatment Acrylic Resins Vitrectomy Intraocular lens Ophthalmologic Surgical Procedures 03 medical and health sciences Cellular and Molecular Neuroscience 0302 clinical medicine Anterior Eye Segment Calcinosis Ophthalmology medicine Humans Trabeculectomy Device Removal Aged Retrospective Studies Lenses Intraocular business.industry Middle Aged medicine.disease eye diseases Sensory Systems Prosthesis Failure medicine.anatomical_structure Private practice 030221 ophthalmology & optometry Female sense organs business 030217 neurology & neurosurgery Calcification |
| Zdroj: | British Journal of Ophthalmology. :bjophthalmol-2018 |
| ISSN: | 1468-2079 0007-1161 |
| Popis: | AimsTo report 15 cases of intraocular lens (IOL) calcification following intraocular surgery and to identify common risk factors.MethodsA retrospective case review of patients with IOL calcification reported from the Royal Victorian Eye and Ear Hospital, Melbourne, Australia, and six surgeons in private practice in the Australian states of Victoria, New South Wales and Queensland.Results15 cases of IOL calcification were identified. Eight cases were in hydrophilic acrylic IOLs and seven in hydrophilic acrylic IOLs with hydrophobic surface properties. Five cases occurred following intraocular injection of gas during endothelial keratoplasties. Two cases occurred following pars plana vitrectomy where gas was used. The remaining eight cases did not involve the injection of any intraocular gas; six cases were following trabeculectomy surgery, and two cases were after insertion of a ‘piggyback’ sulcus IOL. In each case, the calcification had a characteristic pattern, being centrally placed in the pupillary zone, mainly affecting the anterior lens surface.ConclusionThe aetiology of IOL calcification is not fully understood, although there are known risk factors such as using hydrophilic acrylic materials and the use of intraocular gas. Surgical consideration of a patient’s ocular comorbidities before IOL implantation is an important tool to mitigate some of this risk. |
| Databáze: | OpenAIRE |
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