1. ,Shandong,Qingdao,China
2. ,Shandong,Qingdao,China
3. ,Shandong,Weifang,China
4. ,Shandong,Jinan,China
5. ,Shandong,Linyi,China
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Late postoperative opacification of a new type hydrophilic acrylic intraocular lens[J]. 眼科实践与研究新进展, 2023,3(3):134-140.
Jin Xie, Xinyi Zang, Shilan Mao, et al. Late postoperative opacification of a new type hydrophilic acrylic intraocular lens[J]. AOPR, 2023,3(3):134-140.
Late postoperative opacification of a new type hydrophilic acrylic intraocular lens[J]. 眼科实践与研究新进展, 2023,3(3):134-140. DOI: 10.1016/j.aopr.2023.06.001.
Jin Xie, Xinyi Zang, Shilan Mao, et al. Late postoperative opacification of a new type hydrophilic acrylic intraocular lens[J]. AOPR, 2023,3(3):134-140. DOI: 10.1016/j.aopr.2023.06.001.
Background,To report the clinical consequences and laboratory characteristics of late postoperative opacification of a hydrophilic acrylic intraocular lens (US-860UV IOL) as well as the prognosis of IOL replacement.,Methods,Forty medical records (42 eyes) of patients with US-860UV IOL opacification reporting decreased or lost vision who underwent IOL explantation between 2017 and 2019 were reviewed. Explanted IOLs were analyzed by slit-lamp examination, confocal microscopy, scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) at the Shandong Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University, and Qingdao University of Science and Technology, Qingdao, China.,Results,The mean age of the 40 patients was 74.83 ± 7.57 (63–92) years. The mean interval between cataract surgery and diagnosis of opacification was 32.38 ± 8.76 (17–48) months. Systemic diseases were found without statistical correlations, the most frequent being arterial hypertension, coronary heart disease, and diabetes mellitus. Visual acuity improved from 1.42 ± 1.03 to 0.31 ± 0.16 (logMAR) after IOL replacement. SEM, EDS and alizarin red staining showed uniformly distributed, diffuse, milk-white opacification, with calcium and phosphorus deposits on the optic and haptic surfaces that could be dissolved in 1% HCl.,Conclusions,Calcium and phosphorus deposition was the main cause of hydrophilic acrylic US-860UV IOL opacification. IOL replacement can safely and effectively improve the visual acuity of patients.
Background,To report the clinical consequences and laboratory characteristics of late postoperative opacification of a hydrophilic acrylic intraocular lens (US-860UV IOL) as well as the prognosis of IOL replacement.,Methods,Forty medical records (42 eyes) of patients with US-860UV IOL opacification reporting decreased or lost vision who underwent IOL explantation between 2017 and 2019 were reviewed. Explanted IOLs were analyzed by slit-lamp examination, confocal microscopy, scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) at the Shandong Key Laboratory of Ophthalmology, Shandong Eye Institute, Shandong First Medical University, and Qingdao University of Science and Technology, Qingdao, China.,Results,The mean age of the 40 patients was 74.83 ± 7.57 (63–92) years. The mean interval between cataract surgery and diagnosis of opacification was 32.38 ± 8.76 (17–48) months. Systemic diseases were found without statistical correlations, the most frequent being arterial hypertension, coronary heart disease, and diabetes mellitus. Visual acuity improved from 1.42 ± 1.03 to 0.31 ± 0.16 (logMAR) after IOL replacement. SEM, EDS and alizarin red staining showed uniformly distributed, diffuse, milk-white opacification, with calcium and phosphorus deposits on the optic and haptic surfaces that could be dissolved in 1% HCl.,Conclusions,Calcium and phosphorus deposition was the main cause of hydrophilic acrylic US-860UV IOL opacification. IOL replacement can safely and effectively improve the visual acuity of patients.
Hydrophilic IOLOpacificationCalciumIOL replacement
1 P Heiner, E Ligabue, A Fan, et al.Safety and effectiveness of a single-piece hydrophobic acrylic intraocular lens (enVista®) - results of a European and Asian-Pacific study Clin Ophthalmol, 8 (2014), pp. 629-635, 10.2147/OPTH.S56135
2 B Johansson, ACS Daniel, C Herbers, et al.Clinical safety and efficacy of a hydrophilic acrylic intraocular lens in a real-world population: a 1-year follow-up retro-prospective study BMC Ophthalmol, 20 (1) (2020), p. 224, 10.1186/s12886-020-01493-y
3 MA Kapamajian, KM MillerEfficacy and safety of cataract extraction with negative power intraocular lens implantation Open Ophthalmol J, 2 (2008), pp. 15-19, 10.2174/1874364100802010015
4 A Maxwell, R SuryakumarLong-term effectiveness and safety of a three-piece acrylic hydrophobic intraocular lens modified with hydroxyethyl-methacrylate: an open-label, 3-year follow-up study Clin Ophthalmol, 12 (2018), pp. 2031-2037, 10.2147/OPTH.S175060
5 MK Jensen, AS Crandall, N Mamalis, et al.Crystallization on intraocular lens surfaces associated with the use of Healon GV Arch Ophthalmol, 112 (8) (1994), pp. 1037-1042, 10.1001/archopht.1994.01090200043019
6 A Grzybowski, A Markeviciute, R ZemaitieneA narrative review of intraocular lens opacifications: update 2020 Ann Transl Med, 8 (22) (2020), p. 1547, 10.21037/atm-20-4207
7 M Tehrani, HB Dick, B Wolters, et al.Material properties of various intraocular lenses in an experimental study Ophthalmologica, 218 (1) (2004), pp. 57-63, 10.1159/000074568
8 P Kanclerz, TM Yildirim, R KhoramniaA review of late intraocular lens opacifications Curr Opin Ophthalmol, 32 (1) (2021), pp. 31-44, 10.1097/ICU.0000000000000719
9 P Kanclerz, TM Yildirim, R KhoramniaMicroscopic characteristics of late intraocular lens opacifications Arch Pathol Lab Med, 145 (6) (2021), pp. 759-767, 10.5858/arpa.2019-0626-RA
10 P Kanclerz, A GrzybowskiSevere intraocular lens opacification after scleral suturing in a patient with retinitis pigmentosa Rom J Ophthalmol, 63 (4) (2019), pp. 383-386, 10.22336/rjo.2019.61
11 O Nishi, K Nishi, K WickstromPreventing lens epithelial cell migration using intraocular lenses with sharp rectangular edges J Cataract Refract Surg, 26 (10) (2000), pp. 1543-1549, 10.1016/s0886-3350(00)00426-0
12 NCD Scherer, K Müller, PM Prahs, et al.Serial opacification of a hydrophilic-hydrophobic acrylic intraocular lens: analysis of potential risk factors J Cataract Refract Surg, 46 (12) (2020), pp. 1624-1629, 10.1097/j.jcrs.0000000000000342
13 T Neuhann, TM Yildirim, HS Son, et al.Reasons for explantation, demographics, and material analysis of 200 intraocular lens explants J Cataract Refract Surg, 46 (1) (2020), pp. 20-26, 10.1016/j.jcrs.2019.08.045
14 N Stanojcic, C Hull, DP O’BrartClinical and material degradations of intraocular lenses: a review Eur J Ophthalmol, 30 (5) (2020), pp. 823-839, 10.1177/1120672119867818
15 TM Yildirim, GU Auffarth, G Łabuz, et al.Material analysis and optical quality assessment of opacified hydrophilic acrylic intraocular lenses after pars plana vitrectomy Am J Ophthalmol, 193 (2018), pp. 10-19, 10.1016/j.ajo.2018.06.002
16 L Werner, DJ Apple, M Escobar-Gomez, et al.Postoperative deposition of calcium on the surfaces of a hydrogel intraocular lens Ophthalmology, 107 (12) (2000), pp. 2179-2185, 10.1016/s0161-6420(00)00416-4
17 IM Neuhann, G Kleinmann, DJ AppleA new classification of calcification of intraocular lenses Ophthalmology, 115 (1) (2008), pp. 73-79, 10.1016/j.ophtha.2007.02.016
18 P Bompastor-Ramos, J Póvoa, C Lobo, et al.Late postoperative opacification of a hydrophilic-hydrophobic acrylic intraocular lens J Cataract Refract Surg, 42 (9) (2016), pp. 1324-1331, 10.1016/j.jcrs.2016.06.032
19 IM Neuhann, TF Neuhann, P Szurman, et al.Clinicopathological correlation of 3 patterns of calcification in a hydrophilic acrylic intraocular lens J Cataract Refract Surg, 35 (3) (2009), pp. 593-597, 10.1016/j.jcrs.2008.08.048
20 JF Taboada-Esteve, M Hurtado-Sarrió, AM Duch-Samper, et al.Hydrophilic acrylic intraocular lens clouding: a clinicopathological review Eur J Ophthalmol, 17 (4) (2007), pp. 588-594, 10.1177/112067210701700417
21 IM Neuhann, L Werner, AM Izak, et al.Late postoperative opacification of a hydrophilic acrylic (hydrogel) intraocular lens: a clinicopathological analysis of 106 explants Ophthalmology, 111 (11) (2004), pp. 2094-2101, 10.1016/j.ophtha.2004.06.032
22 JF Costa, P Bompastor-Ramos, M Marques, et al.Large-scale opacification of a hydrophilic/hydrophobic intraocular lens Eur J Ophthalmol, 30 (2) (2020), pp. 307-314, 10.1177/1120672119830581
23 M Gurabardhi, H Häberle, H Aurich, et al.Serial intraocular lens opacifications of different designs from the same manufacturer: clinical and light microscopic results of 71 explant cases J Cataract Refract Surg, 44 (11) (2018), pp. 1326-1332, 10.1016/j.jcrs.2018.07.026
24 A Frohn, HB Dick, AJ Augustin, et al.Late opacification of the foldable hydrophilic acrylic lens SC60B-OUV Ophthalmology, 108 (11) (2001), pp. 1999-2004, 10.1016/s0161-6420(01)00778-3
25 V Balendiran, K MacLean, N Mamalis, et al.Localized calcification of hydrophilic acrylic intraocular lenses after posterior segment procedures J Cataract Refract Surg, 45 (12) (2019), pp. 1801-1807, 10.1016/j.jcrs.2019.07.015
26 K Darcy, A Apel, M Donaldson, et al.Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments Br J Ophthalmol, 103 (12) (2019), pp. 1700-1703, 10.1136/bjophthalmol-2018-313385
27 A Dhital, DJ Spalton, S Goyal, et al.Calcification in hydrophilic intraocular lenses associated with injection of intraocular gas Am J Ophthalmol, 153 (6) (2012), pp. 1154-11560, 10.1016/j.ajo.2011.11.017
28 NZ Gregori, JJ Echegaray, HW Flynn Jr.Opacification of Akreos hydrophilic acrylic lens after retinal detachment repair with silicone oil tamponade: a case report Ophthalmol Ther, 8 (2) (2019), pp. 341-345, 10.1007/s40123-019-0183-9
29 KD MacLean, A Apel, J Wilson, et al.Calcification of hydrophilic acrylic intraocular lenses associated with intracameral air injection following DMEK J Cataract Refract Surg, 41 (6) (2015), pp. 1310-1314, 10.1016/j.jcrs.2015.05.006
30 L Werner, G Wilbanks, CP Nieuwendaal, et al.Localized opacification of hydrophilic acrylic intraocular lenses after procedures using intracameral injection of air or gas J Cataract Refract Surg, 41 (1) (2015), pp. 199-207, 10.1016/j.jcrs.2014.10.025
31 JH Sher, P Gooi, W Dubinski, et al.Comparison of the incidence of opacification of Hydroview hydrogel intraocular lenses with the ophthalmic viscosurgical device used during surgery J Cataract Refract Surg, 34 (3) (2008), pp. 459-464, 10.1016/j.jcrs.2007.10.029
32 SP Gartaganis, DG Kanellopoulou, EK Mela, VS Panteli, PG KoutsoukosOpacification of hydrophilic acrylic intraocular lens attributable to calcification: investigation on mechanism Am J Ophthalmol, 146 (3) (2008), pp. 395-403, 10.1016/j.ajo.2008.04.032
33 RW Altaie, T Costigan, S Donegan, et al.Investigation and management of an epidemic of Hydroview intraocular lens opacification Graefes Arch Clin Exp Ophthalmol, 243 (11) (2005), pp. 1124-1133, 10.1007/s00417-005-1179-9
34 N Fogh-Andersen, L Hedegaard, J Thode, et al.Sex-dependent relation between ionized calcium in serum and blood pressure Clin Chem., 30 (1) (1984), pp. 116-118 PMID: 6690114
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