Early opacification of a single-piece hydrophobic acrylic intraocular lens after a triple procedure
Takeshi Iwase1, Kazuhisa Sugiyama
1Department of Ophthalmology, Toyama Prefectural Central Hospital, Toyama, Japan. tsuyoshiiwase@aol.com
Abstract:
We report a case in which the optic of a single-piece AcrySof acrylic (SA60AT, Alcon) intraocular lens (IOL) became opacified. A 64-year-old man had a triple procedure of vitrectomy, phacoemulsification, and IOL implantation for cataract and a dense vitreous hemorrhage in the left eye. The IOL was clear on the day after surgery, but by the third day, a dusty haze was observed on the surface due to the presence of numerous, small brown corpuscles. The IOL was removed and replaced with another SA60AT. No optic opacification occurred on the replacement IOL. Analysis of the explanted IOL indicated the presence of proteinaceous material but no calcium on the surface. Early postoperative opacification of a single-piece acrylic SA60AT IOL might occur in combined cataract and vitreous surgery, even in eyes in which the posterior capsule is intact and there are no operative complications.
Related Concept Videos
Hemodialysis II: Procedure and Complications
Oxygen Delivering System III: Tracheostomy and T-piece
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Scalar and Vector Triple Products
The scalar triple product is the dot product of a vector with the cross product of two vectors....
Blind Procedures
Handwashing II: Pre-procedure and Initial Procedure Steps
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury. The nails must be short and clean, without nail...
Handwashing III: During the Procedure and Post-Procedure Steps


