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Implantation Protocol of the Foldable Capsular Vitreous Body for Complex Vitreoretinal Surgery
Published on: April 14, 2026
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[Unusual IOL Calcification following Vitreoretinal Surgery with Silicone Oil Endotamponade]
A Chronopoulos1, Z Varga1, P A Steinfeld2
1Klinik für Augenheilkunde, Universitätsklinik Genf, Genf, Schweiz.
Summary
Calcification of intraocular lenses (IOLs) is rare, especially in hydrophobic types. This study details two cases of IOL calcification after vitrectomy and silicon oil use, requiring explantation.
Area of Science:
- Ophthalmology
- Biomaterials Science
Background:
- Calcification of intraocular lenses (IOLs) is a known complication, though less common now.
- While typically seen in hydrophilic IOLs, it has rarely been reported in hydrophobic IOLs.
Observation:
- This report presents two unusual cases of IOL calcification following vitrectomy and silicon oil endotamponade.
- One IOL was hydrophobic, and the other was hydrophilic with a hydrophobic surface.
Findings:
- Scanning electron microscopy and energy-dispersive X-ray spectroscopy revealed massive calcium deposits on the hydrophilic IOL.
- The hydrophobic IOL showed diffuse vacuolation and calcification with elements including oxygen, silicon, magnesium, aluminum, sulfur, and phosphorus.
Implications:
- IOL explantation due to calcification is an uncommon but necessary procedure.
- Understanding factors contributing to calcification may help reduce incidence, but IOL exchange is the primary treatment for symptomatic cases.
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