Qualitative and quantitative analysis of an explanted opacified hydrophilic IOL after over two years from cataract surgery.
Sarah TripodiMario Domenico ToroRobert RejdakCiro CostagliolaTeresio AvitabileAdriano CarnevaliDonatella BruzzichessiStefano GambaroAlessandro PortaPublished in: European journal of ophthalmology (2023)
Opacification of hydrophilic intraocular lenses (IOLs) is an uncommon complication, that can appear after uneventful cataract surgery. We report a case of opacified Hydroview® IOL in a 76-year-old woman, with a previous history of pars plana vitrectomy with silicon oil tamponade in her right eye for a proliferative diabetic retinopathy, who developed an opacification of the IOL after over two years from a silicon oil/BSS exchange in combination with an uneventful phacoemulsification. The patient complained about a progressive decrease in her visual acuity. The slit-lamp examination confirmed the opacification of the IOL. Therefore, because of blurred vision, a combined procedure of explant and exchange of the IOL was performed in the same eye. Qualitative (Optic microscope, X-Ray powder Diffraction (XRD), Scanning Electron Microscopy (SEM)) and quantitative (Instrumental Neutron Activation Analysis (INAA)) analysis of the IOL material were performed. Here, our aim is to report the acquired data of the explanted Hydroview® H60M IOL.
Keyphrases
- cataract surgery
- electron microscopy
- diabetic retinopathy
- optical coherence tomography
- high resolution
- systematic review
- multiple sclerosis
- liquid chromatography
- fatty acid
- magnetic resonance imaging
- mass spectrometry
- quantum dots
- tandem mass spectrometry
- simultaneous determination
- artificial intelligence
- solid phase extraction