title: Influence of aqueous humor convection current on IOL opacification.
abstract: OBJECTIVE
  The opacification of Akreos Adapt (Bausch & Lomb, Rochester; NY) intraocular lens (IOL) has been previously reported in Literature. A metabolic change in aqueous humour was considered as the main trigger factor to IOL opacification. We report our case and discuss the association with Ex-PRESS, highlighting the particular pattern of IOL opacification and its possible relation with the intraocular convective motions of the aqueous.
  
  
  METHODS
  We analyzed our case using both digital slit lamp acquisition and OCT Visante (Zeiss, Germany) images. A literature review was conducted to evaluate our results with that previously reported.
  
  
  CONCLUSIONS
  The role of a relative stationary flow was reported as suggested concurrent mechanism in IOL opacification phenomenon.
authors.affiliation: Head and Neck Department-Ophthalmology Division, Catholic University of "Sacro Cuore", Rome, Italy. antoagresta@gmail.com.
authors.forename: A
authors.identifier: http://orcid.org/0000-0002-8348-7824
authors.initials: A
authors.lastname: Agresta
authors.affiliation: Head and Neck Department-Ophthalmology Division, Catholic University of "Sacro Cuore", Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Giudiceandrea
authors.affiliation: Head and Neck Department-Ophthalmology Division, Catholic University of "Sacro Cuore", Rome, Italy.
authors.forename: T
authors.initials: T
authors.lastname: Salgarello
authors.affiliation: Head and Neck Department-Ophthalmology Division, Catholic University of "Sacro Cuore", Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Manganelli
authors.affiliation: Head and Neck Department-Ophthalmology Division, Catholic University of "Sacro Cuore", Rome, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Fasciani
authors.affiliation: Head and Neck Department-Ophthalmology Division, Catholic University of "Sacro Cuore", Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Caporossi
mesh_terms: D000328:Adult; D001082:Aqueous Humor / Q000502:physiology*; D017610:Calcium Compounds / Q000378:metabolism; D002386:Cataract / Q000209:etiology*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular / Q000009:adverse effects*; D007910:Lenses, Intraocular
chemical_list: D017610:Calcium Compounds
keywords: Akreos Adapt; Aqueous; Convection current; Ex-PRESS; Humor; IOL cloudy; IOL opacification; Trabeculectomy