Reversible opacification of hydrophobic acrylic intraocular lens- two cases report

BMC Ophthalmology

Case Report

Jimmy K. Lee¹  Roy S. Chuck¹  Choul Yong Park²  Dong Ju Kim² 

[1] Department of Ophthalmology and Visual Sciences, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA;Department of Ophthalmology, Dongguk University, Ilsan Hospital, 814, Siksadong, Ilsan-dong-gu, 410-773, Goyang, Kyunggido, South Korea;

关键词: Cataract;    Intraocular lens;    Hydrophobic;    Acrylic;    Reversible;    TASS;   

DOI  :  10.1186/s12886-017-0509-0

 received in 2017-03-01, accepted in 2017-06-23,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe opacification of the intraocular lens (IOL) can cause significant visual deterioration. It is known that opacity of hydrophobic acrylic IOLs is rare. We report 2 cases of reversible optic opacification of hydrophobic acrylic intraocular lenses (Tecnis ZCB00, Abbott), observed within 2 months after uneventful cataract surgery.Case presentationCase 1: Uneventful cataract surgery was performed on the left eye of an 86-year-old diabetic man with chronic open-angle glaucoma. A hydrophobic acrylic intraocular lens (IOL; Tecnis ZCB00, Abbott, Lake Bluff, IL) was implanted in the bag. Eye drops containing 0.5% levofloxacin and 1.0% prednisolone were used after surgery along with topical anti-glaucoma medications. At 7 weeks postoperative, cloudy, concentric IOL opacification developed, accompanied by decreased visual acuity and increased intraocular pressure. However, the opacification completely disappeared after 9 weeks.Case 2: Uneventful cataract surgery was performed on the left eye of a 72-year-old woman. A hydrophobic acrylic IOL (Tecnis ZCB00) was implanted in the bag. At 2 weeks postoperative, cloudy, concentric IOL opacification developed, accompanied by ocular discomfort. After 4 weeks, opacification and discomfort completely disappeared.ConclusionsWe observed two cases of completely reversible opacification of hydrophobic acrylic IOLs. The exact nature of the transient opacity remains unclear, but an inflammatory origin cannot be completely ruled out.

【 授权许可】

CC BY   
© The Author(s). 2017