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Updated: Jul 19, 2026

04:59
Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
Delayed surface opacification of a hydroview intraocular lens
Sonja Klebe1, Bradley J Kirkwood, Douglas J Coster
1Department of Anatomical Pathology, Flinders Medical Centre and Flinders University, Adelaide, South Australia, Australia. sonja.klebe@fmc.sa.gov.au
Clinical & Experimental Optometry
|October 10, 2006
Summary
Delayed opacification of hydrophilic foldable intraocular lenses (IOLs) is a post-surgery complication. Pathological analysis of explanted IOLs aids understanding and may be relevant in legal cases.
Area of Science:
- Ophthalmology
- Materials Science
Background:
- Cataract surgery routinely involves intraocular lens (IOL) insertion.
- Delayed opacification of hydrophilic foldable IOLs is an emerging post-operative complication.
Observation:
- An 89-year-old female presented with opacification of a Hydroview IOL.
- Opacification can lead to reduced visual acuity and is diagnosed via slitlamp biomicroscopy.
Findings:
- Clinical findings of the in situ lens were correlated with explanted lens analysis.
- Pathological analysis included light microscopy, transmission electron microscopy (TEM), scanning electron microscopy (SEM), and elemental analysis.
Implications:
- Understanding IOL opacification mechanisms is crucial for improving patient outcomes.
- Pathological examination of explanted IOLs can provide valuable insights into material degradation.
- Such analyses may become relevant in medico-legal contexts concerning IOL complications.
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