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Published on: March 8, 2019
Progressive opacification of hydrophilic acrylic intraocular lenses in diabetic patients
Do Hyung Lee1, Yeon Seo, Choun-Ki Joo
1Department of Ophthalmology, Ilsan Paik Hospital, Inje University, Seoul, South Korea.
Abstract:
Four patients with diabetes mellitus had cataract extraction with implantation of a hydrophilic acrylic intraocular lens (IOL) (ACRL-C160, Ophthalmed). The IOLs showed progressive and generalized opacification 10 to 20 months after implantation, decreasing visual acuity. All 4 IOLs were removed. By light microscopic examination, the IOL surfaces were wrinkled and encrusted with microspheres. Electron microscopy revealed the material to be crystalline in nature. Energy dispersive x-ray spectrum analysis showed that the deposits were mainly composed of calcium and phosphate.
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