TY - JOUR
T1 - Calcification of a hydrophilic acrylic intraocular lens after Descemet-stripping endothelial keratoplasty
T2 - Case report and laboratory analyses
AU - Fellman, Melissa A.
AU - Werner, Liliana
AU - Liu, Erica T.
AU - Stallings, Shannon
AU - Floyd, Anne M.
AU - Van Der Meulen, Ivanka J.E.
AU - Lapid-Gortzak, Ruth
AU - Nieuwendaal, Carla P.
PY - 2013/5/1
Y1 - 2013/5/1
N2 - We describe the case of an 83-year-old woman who had uneventful phacoemulsification with implantation of a tripod hydrophilic acrylic intraocular lens (IOL). Because of postoperative corneal decompensation, 2 Descemet-stripping endothelial keratoplasty (DSEK) procedures were performed within 2 years. After the second procedure, the graft was not well attached, requiring an intracameral injection of air on day 3. Approximately 9 months later, opacification was observed on the anterior surface of the IOL, with a significant decrease in visual acuity. The IOL was explanted within the capsular bag. Laboratory analyses revealed granular deposits densely distributed in a round pattern within the margins of the capsulorhexis. Granules were located at the anterior surface/subsurface of the IOL and stained positive for calcium (alizarin red and von Kossa method). Scheimpflug photography revealed high levels of light scattering from the opacified area. Surgeons should be aware of possible localized calcification following DSEK procedures in pseudophakic patients with hydrophilic acrylic IOLs. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
AB - We describe the case of an 83-year-old woman who had uneventful phacoemulsification with implantation of a tripod hydrophilic acrylic intraocular lens (IOL). Because of postoperative corneal decompensation, 2 Descemet-stripping endothelial keratoplasty (DSEK) procedures were performed within 2 years. After the second procedure, the graft was not well attached, requiring an intracameral injection of air on day 3. Approximately 9 months later, opacification was observed on the anterior surface of the IOL, with a significant decrease in visual acuity. The IOL was explanted within the capsular bag. Laboratory analyses revealed granular deposits densely distributed in a round pattern within the margins of the capsulorhexis. Granules were located at the anterior surface/subsurface of the IOL and stained positive for calcium (alizarin red and von Kossa method). Scheimpflug photography revealed high levels of light scattering from the opacified area. Surgeons should be aware of possible localized calcification following DSEK procedures in pseudophakic patients with hydrophilic acrylic IOLs. Financial Disclosure: No author has a financial or proprietary interest in any material or method mentioned.
UR - http://www.scopus.com/inward/record.url?scp=84876672594&partnerID=8YFLogxK
U2 - 10.1016/j.jcrs.2013.01.028
DO - 10.1016/j.jcrs.2013.01.028
M3 - Article
C2 - 23541897
AN - SCOPUS:84876672594
SN - 0886-3350
VL - 39
SP - 799
EP - 803
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
IS - 5
ER -