Carlevale intraocular lens opacification after pars plana vitrectomy
Prachi Sharma1, Anita Muskalska2, Beatrice Gallo2
1Ophthalmology, SN Medical College, Agra, India.
BMJ Case Reports
|March 19, 2025
Summary
A rare case of hydrophilic intraocular lens (IOL) opacification occurred after multiple surgeries for retinal detachment. This highlights potential risks associated with the Carlevale IOL and repeated surgical interventions.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Intraocular Lens Technology
Background:
- Sutureless scleral-fixated intraocular lenses (IOLs) are used for refractive correction.
- Hydrophilic IOLs are common but can be susceptible to opacification.
- Recurrent rhegmatogenous retinal detachment may necessitate multiple surgical interventions.
Purpose of the Study:
- To report a rare case of Carlevale intraocular lens (IOL) opacification.
- To investigate potential contributing factors to IOL opacification in complex cases.
Main Methods:
- Case report of a patient who underwent Carlevale IOL implantation.
- Review of the patient's surgical history, including multiple pars plana vitrectomies.
- Clinical examination and documentation of IOL opacification.
Main Results:
- The patient developed opacification of the hydrophilic sutureless scleral-fixated Carlevale IOL.
- Opacification occurred after two additional pars plana vitrectomies for recurrent retinal detachment.
- The case involved gas and silicone oil tamponades during the surgeries.
Conclusions:
- Carlevale IOL opacification is a rare complication.
- Multiple pars plana vitrectomies and the use of intraocular tamponades may be associated with hydrophilic IOL opacification.
- Further investigation into IOL material properties and surgical factors is warranted.
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