title: [Opacification of an intraocular lens: calcification of hydrophilic intraocular lenses after gas tamponade of the anterior chamber].
abstract: A patient with endothelial dystrophy was treated with Descemet stripping automated endothelial keratoplasty (DSAEK) combined with cataract extraction and implantation of a hydrophilic intraocular lens (IOL, Lentis-L312, Oculentis) but visual acuity dropped from 0.15 logMAR to 0.52 logMAR 18 months later due to calcification of the IOL. With new methods of lamellar corneal transplantation being used more frequently the number of necessary anterior chamber tamponades with air/gas are increasing. In cataract cases in which a gas tamponade and transplantation might be necessary later on (cornea guttata), hydrophilic IOLs should be avoided.
authors.affiliation: Abteilung für Augenheilkunde, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich, gerald.schmidinger@meduniwien.ac.at.
authors.forename: G
authors.initials: G
authors.lastname: Schmidinger
authors.forename: B
authors.initials: B
authors.lastname: Pemp
authors.forename: L
authors.initials: L
authors.lastname: Werner
mesh_terms: D000388:Air; D058442:Capsule Opacification / Q000209:etiology* / Q000517:prevention & control; D058450:Endotamponade / Q000009:adverse effects*; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000150:complications / Q000601:surgery*; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008875:Middle Aged; D011475:Prosthesis Failure; D017211:Treatment Failure; D016896:Treatment Outcome
references.citation: Eur J Ophthalmol. 2006 Sep-Oct;16(5):758-60
references.pmid: 17061232
references.citation: Am J Ophthalmol. 2012 Jun;153(6):1082-90.e2
references.pmid: 22397955
references.citation: Ophthalmologe. 2012 May;109(5):483-6
references.pmid: 22415452
references.citation: J Cataract Refract Surg. 2008 Sep;34(9):1584-91
references.pmid: 18721724
references.citation: Am J Ophthalmol. 2012 Jun;153(6):1154-60.e1
references.pmid: 22325304
references.citation: Curr Eye Res. 2012 Jun;37(6):471-8
references.pmid: 22577764
references.citation: Am J Ophthalmol. 2011 Nov;152(5):824-33.e1
references.pmid: 21763638
references.citation: Cornea. 2013 Apr;32(4):e6-10
references.pmid: 23010776
references.citation: J Cataract Refract Surg. 2012 Apr;38(4):720-1
references.pmid: 22305709