title: Opacification of a hydrophilic acrylic intraocular lens with a hydrophobic surface after air injection in Descemet-stripping automated endothelial keratoplasty in a patient with Fuchs dystrophy.
abstract: A 71-year-old woman with Fuchs endothelial dystrophy in the right eye had uneventful phacoemulsification cataract surgery with implantation of a single-piece intraocular lens (IOL) (CT47S) in January 2012. Because of corneal problems and vision loss, uneventful Descemet-stripping automated endothelial keratoplasty (DSAEK) was performed in May 2013. Four months later, a new corneal lamella (repeat DSAEK) was implanted with reinjection of an air bubble into the anterior chamber. Six months after the initial DSAEK, the patient complained of blurred vision. On examination, the cornea was transparent but the IOL presented opacification in the central area. The opacified IOL was explanted and analyzed by light microscopy, which showed the presence of thin granular deposits distributed in an overall round pattern that stained positive for calcium. The opacification of hydrophilic acrylic IOLs is a complication that can occur after uneventful endothelial keratoplasty, especially when rebubbling is necessary.
authors.affiliation: From the Premium Clinic (Mojzis, Piñero), Teplice, the Department of Ophthalmology (Studeny), Medical Faculty of Charles University, and the Teaching Hospital Kralovske Vinohrady (Studeny), Prague, Czech Republic; the John A. Moran Eye Center (Werner), University of Utah, Salt Lake City, Utah, USA; the Berlin Eye Research Institute (Werner), Berlin, Germany; the Departament de Optics, Pharmacology and Anatomy (Piñero), University of Alicante, Alicante, Spain.
authors.forename: Peter
authors.initials: P
authors.lastname: Mojzis
authors.affiliation: From the Premium Clinic (Mojzis, Piñero), Teplice, the Department of Ophthalmology (Studeny), Medical Faculty of Charles University, and the Teaching Hospital Kralovske Vinohrady (Studeny), Prague, Czech Republic; the John A. Moran Eye Center (Werner), University of Utah, Salt Lake City, Utah, USA; the Berlin Eye Research Institute (Werner), Berlin, Germany; the Departament de Optics, Pharmacology and Anatomy (Piñero), University of Alicante, Alicante, Spain.
authors.forename: Pavel
authors.initials: P
authors.lastname: Studeny
authors.affiliation: From the Premium Clinic (Mojzis, Piñero), Teplice, the Department of Ophthalmology (Studeny), Medical Faculty of Charles University, and the Teaching Hospital Kralovske Vinohrady (Studeny), Prague, Czech Republic; the John A. Moran Eye Center (Werner), University of Utah, Salt Lake City, Utah, USA; the Berlin Eye Research Institute (Werner), Berlin, Germany; the Departament de Optics, Pharmacology and Anatomy (Piñero), University of Alicante, Alicante, Spain.
authors.forename: Liliana
authors.initials: L
authors.lastname: Werner
authors.affiliation: From the Premium Clinic (Mojzis, Piñero), Teplice, the Department of Ophthalmology (Studeny), Medical Faculty of Charles University, and the Teaching Hospital Kralovske Vinohrady (Studeny), Prague, Czech Republic; the John A. Moran Eye Center (Werner), University of Utah, Salt Lake City, Utah, USA; the Berlin Eye Research Institute (Werner), Berlin, Germany; the Departament de Optics, Pharmacology and Anatomy (Piñero), University of Alicante, Alicante, Spain. Electronic address: david.pinyero@ua.es.
authors.forename: David P
authors.initials: DP
authors.lastname: Piñero
mesh_terms: D000180:Acrylic Resins; D000368:Aged; D000388:Air; D000867:Anterior Chamber / Q000601:surgery; D002114:Calcinosis / Q000209:etiology / Q000473:pathology / Q000601:surgery; D002118:Calcium / Q000032:analysis; D057111:Descemet Stripping Endothelial Keratoplasty; D020878:Device Removal; D005260:Female; D005642:Fuchs' Endothelial Dystrophy / Q000601:surgery*; D006801:Humans; D057927:Hydrophobic and Hydrophilic Interactions; D056965:Injections, Intraocular; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D018918:Phacoemulsification; D011475:Prosthesis Failure; D014786:Vision Disorders / Q000209:etiology / Q000473:pathology / Q000601:surgery; D014792:Visual Acuity / Q000502:physiology
chemical_list: D000180:Acrylic Resins; D002118:Calcium