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OPACIFICATION OF SCLERAL-SUTURED AKREOS AO60 INTRAOCULAR LENS AFTER VITRECTOMY WITH GAS TAMPONADE: CASE SERIES
Ananda Kalevar1,2,3, Michael Dollin4, R Rishi Gupta5
1West Coast Retina Medical Group, San Francisco, California.
Retinal Cases & Brief Reports
|September 29, 2017
Summary
Scleral-sutured Akreos AO60 intraocular lenses may opacify after vitrectomy with gas tamponade. While visual acuity remained good, caution is advised with hydrophilic lenses in such cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Intraocular Lens Technology
Background:
- Scleral-sutured intraocular lenses (IOLs) are used for aphakia without capsular support.
- Akreos AO60 hydrophilic IOLs are an option for secondary implantation.
- Vitreoretinal surgery often requires gas tamponade for retinal repair.
Observation:
- Two patients with ectopia lentis received scleral-sutured Akreos AO60 IOLs after pars plana vitrectomy and lensectomy.
- Retinal breaks necessitated intravitreal gas tamponade and endolaser retinopexy.
- Postoperative opacification of the Akreos AO60 IOLs occurred in both cases.
Findings:
- Despite IOL opacification, both patients maintained excellent visual acuity.
- One patient experienced bothersome photophobia, which was tolerable.
- The opacification did not significantly impair visual function in these cases.
Implications:
- Hydrophilic IOLs, like the Akreos AO60, may be susceptible to opacification when used with gas tamponade in vitreoretinal surgery.
- Careful consideration is needed when selecting IOLs for patients undergoing procedures requiring intravitreal gas.
- Further research is warranted to understand the mechanism and long-term effects of this opacification.
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