Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens.
A 51-year-old patient underwent posterior vitrectomy with perfluoropropane gas injection, phacoemulsification, and implantation of an Oft Cryl® hydrophilic acrylic intraocular lens (IOL) because of traumatic retinal detachment and cataract in the right eye. On the first postoperative day, gas was filling the anterior chamber because of patient's non-compliance in terms of head positioning, and was reabsorbed within one week. Eight months later, the patient returned complaining of a significant decrease in vision. IOL opacification was noticed by slit-lamp examination. The lens was explanted to undergo gross and light microscopic analysis. The lens was also stained with the alizarin red method for calcium identification. Light microscopic analysis confirmed the presence of granular deposits, densely distributed in an overall circular pattern in the central part of the lens optic. The granules stained positive for calcium. This is the first case of the opacification of this type of hydrophilic lens. Surgeons should be aware of this potential postoperative complication, and the use of hydrophilic IOLs should be avoided in procedures involving intracameral gas because of the risk of IOL opacification.
Fundação Altino Ventura (FAV) - Recife, PE, Brazil.|Hospital de Olhos de Pernambuco (HOPE) - Recife, PE, Brazil.
Bruna Vieira
BV
Ventura
Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah, Salt Lake City (UT), USA.
Kyle Douglas
KD
MacLean
Fundação Altino Ventura (FAV) - Recife, PE, Brazil.
Wagner
W
Lira
Fundação Altino Ventura (FAV) - Recife, PE, Brazil.
Daniele Mendes de
DM
Oliveira
Fundação Altino Ventura (FAV) - Recife, PE, Brazil.
Camila Vieira
CV
Ventura
Intermountain Ocular Research Center, John A. Moran Eye Center, University of Utah, Salt Lake City (UT), USA.
Liliana
L
Werner
D020878:Device Removal; D005260:Female; D005466:Fluorocarbons; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular / Q000009:adverse effects*; D008853:Microscopy / Q000379:methods; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications / Q000209:etiology*; D011475:Prosthesis Failure / Q000209:etiology*; D014821:Vitrectomy
D005466:Fluorocarbons; C042852:perflutren