Progressive opacification of hydrophilic acrylic intraocular lenses in diabetic patients.
Four patients with diabetes mellitus had cataract extraction with implantation of a hydrophilic acrylic intraocular lens (IOL) (ACRL-C160, Ophthalmed). The IOLs showed progressive and generalized opacification 10 to 20 months after implantation, decreasing visual acuity. All 4 IOLs were removed. By light microscopic examination, the IOL surfaces were wrinkled and encrusted with microspheres. Electron microscopy revealed the material to be crystalline in nature. Energy dispersive x-ray spectrum analysis showed that the deposits were mainly composed of calcium and phosphate.
Lee
Do Hyung
DH
Department of Ophthalmology, Ilsan Paik Hospital, Inje University, Seoul, South Korea.
Seo
Yeon
Y
Joo
Choun-Ki
CK
D000180:Acrylic Resins; D000368:Aged; D002118:Calcium / Q000032:analysis; D002386:Cataract / Q000150:complications*; D020878:Device Removal; D048909:Diabetes Complications; D003930:Diabetic Retinopathy / Q000150:complications*; D004577:Electron Probe Microanalysis; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D010710:Phosphates / Q000032:analysis; D011183:Postoperative Complications / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D014786:Vision Disorders / Q000209:etiology / Q000601:surgery
D000180:Acrylic Resins; D010710:Phosphates; D002118:Calcium