Late postoperative opacification of hydrophilic acrylic intraocular lenses.
OBJECTIVE
To evaluate the incidence of postoperative opacification of hydrophilic acrylic intraocular lenses (IOLs) and discuss the surgical management.


METHODS
Seventy-two eyes of 72 consecutive patients who received the same type of hydrophilic acrylic IOL (Intraocular Optical International, I.O.I., California, USA) after uneventful phacoemulsification were evaluated retrospectively. Systemic status, follow-up time, recognition time of IOL opacification, time lapse between implantation and explantation, and surgical technique during explantation were reported.


RESULTS
IOL opacification was noted in 3 patients (4.1%). Time lapse between implantation and first recognition of opacification was 6.3+/-1.5 months (range: 5-8 months). Two of the patients had insulin-dependent diabetes mellitus and both were on renal dialysis for diabetic nephropathy, whereas one had no systemic disease. Opacified hydrophilic acrylic IOLs were exchanged with Acrysof IOL, and no further opacification occurred after lens exchange.


CONCLUSIONS
Use caution on implantation of hydrophilic IOLs because late opacification is a serious complication requiring further surgery.
Hakan E
HE
Oner
Ismet
I
Durak
Osman A
OA
Saatci
D000179:Acrylates; D000368:Aged; D003922:Diabetes Mellitus, Type 1; D003928:Diabetic Nephropathies / Q000628:therapy; D004868:Equipment Failure / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D012086:Reoperation; D012189:Retrospective Studies; D013997:Time Factors
D000179:Acrylates