Total Opacification of Intraocular Lens Implant After Uncomplicated Cataract Surgery: A Case Report

Abstract

The introduction a few years ago of hydrophilic acrylic intraocular lenses (IOLs) a few years ago constituted a major advance in the field of Cataract Surgery. These lenses have become increasingly popular, thanks to the ease with which they can be folded and implanted in the capsular sac through a small incision; their good medium and long-term tolerance attributable to the great biocompatibility of the material employed; and the ease with which YAG laser capsulotomy can be performed where required, without damaging the lens and thus minimizing certain complications. Different models have been developed, generally offering good short- and middle-term vision performance, though little is known of their potential long-term results and complications.1 These complications include opacification of IOLs, which has been recognized for several years.3 Most reported cases have been late opacification of hydrophilic acrylic IOLs.4-10 Opacification reduces visual acuity (VA) and it requires some intervention. We report the clinical history and management of a cases of progressive opacification in hydrophilic yellow acrylic IOLs.