title: Opacification of the optic of an Akreos Adapt intraocular lens.
abstract: A 60-year-old diabetic patient transferred to our retina clinic for a regular follow-up for diabetic retinopathy. He had uneventful cataract surgery at the time of pars plana vitrectomy in the right eye due to diabetic retinopathy at a private ophthalmologic hospital. Six months after the surgery, neovascular glaucoma with hyphema developed in the right eye and an Ahmed valve was implanted at our hospital. Ten months after cataract surgery, we found opacification of the intraocular lens (IOL) which was causing significant visual disturbance. At the time, the best corrected visual acuity (BCVA) in the right eye was hand motion. The IOL was explanted 45 months after the operation. Five months after explantation, the BCVA was 0.06. Unfortunately, pathologic analysis was not performed. Patient-related factors such as an anterior chamber reaction caused by hyphema might have been responsible for the opacification. To our knowledge, there are no previous reports of opacification of the Akreos Adapt IOL.
authors.affiliation: Department of Ophthalmology, Keimyung University School of Medicine, Daegu, Korea.
authors.forename: Chong Eun
authors.initials: CE
authors.lastname: Lee
authors.forename: Yu Cheol
authors.initials: YC
authors.lastname: Kim
authors.forename: Sung Dong
authors.initials: SD
authors.lastname: Chang
mesh_terms: D002386:Cataract / Q000150:complications / Q000209:etiology; D002387:Cataract Extraction; D020878:Device Removal; D003930:Diabetic Retinopathy / Q000601:surgery; D004868:Equipment Failure; D005139:Eyeglasses; D015355:Glaucoma, Neovascular / Q000209:etiology; D006801:Humans; D006988:Hyphema / Q000209:etiology; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods