Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments
AimsTo report 15 cases of intraocular lens (IOL) calcification following intraocular surgery and to identify common risk factors.MethodsA retrospective case review of patients with IOL calcification reported from the Royal Victorian Eye and Ear Hospital, Melbourne, Australia, and six surgeons in pri...
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| Veröffentlicht in: | British journal of ophthalmology 2019-12, Vol.103 (12), p.1700-1703 |
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| creator | Darcy, Kieren Apel, Andrew Donaldson, Mark McDonald, Robert Males, John Coote, Michael Werner, Liliana Chan, Elsie |
| description | AimsTo report 15 cases of intraocular lens (IOL) calcification following intraocular surgery and to identify common risk factors.MethodsA retrospective case review of patients with IOL calcification reported from the Royal Victorian Eye and Ear Hospital, Melbourne, Australia, and six surgeons in private practice in the Australian states of Victoria, New South Wales and Queensland.Results15 cases of IOL calcification were identified. Eight cases were in hydrophilic acrylic IOLs and seven in hydrophilic acrylic IOLs with hydrophobic surface properties. Five cases occurred following intraocular injection of gas during endothelial keratoplasties. Two cases occurred following pars plana vitrectomy where gas was used. The remaining eight cases did not involve the injection of any intraocular gas; six cases were following trabeculectomy surgery, and two cases were after insertion of a ‘piggyback’ sulcus IOL. In each case, the calcification had a characteristic pattern, being centrally placed in the pupillary zone, mainly affecting the anterior lens surface.ConclusionThe aetiology of IOL calcification is not fully understood, although there are known risk factors such as using hydrophilic acrylic materials and the use of intraocular gas. Surgical consideration of a patient’s ocular comorbidities before IOL implantation is an important tool to mitigate some of this risk. |
| doi_str_mv | 10.1136/bjophthalmol-2018-313385 |
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Eight cases were in hydrophilic acrylic IOLs and seven in hydrophilic acrylic IOLs with hydrophobic surface properties. Five cases occurred following intraocular injection of gas during endothelial keratoplasties. Two cases occurred following pars plana vitrectomy where gas was used. The remaining eight cases did not involve the injection of any intraocular gas; six cases were following trabeculectomy surgery, and two cases were after insertion of a ‘piggyback’ sulcus IOL. In each case, the calcification had a characteristic pattern, being centrally placed in the pupillary zone, mainly affecting the anterior lens surface.ConclusionThe aetiology of IOL calcification is not fully understood, although there are known risk factors such as using hydrophilic acrylic materials and the use of intraocular gas. Surgical consideration of a patient’s ocular comorbidities before IOL implantation is an important tool to mitigate some of this risk.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjophthalmol-2018-313385</identifier><identifier>PMID: 30798263</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acrylic Resins ; Aged ; Anterior Eye Segment - surgery ; Calcification ; Calcinosis - diagnosis ; Calcinosis - etiology ; Cataracts ; Device Removal ; Diabetes ; Eye surgery ; Female ; Gases ; Glaucoma ; Humans ; Hydrophobic surfaces ; Intraocular lenses ; Lenses, Intraocular ; Licensed products ; Male ; Middle Aged ; Ophthalmologic Surgical Procedures - adverse effects ; Posterior Eye Segment - surgery ; Prosthesis Failure - etiology ; Reimbursement ; Retrospective Studies ; Sulfur</subject><ispartof>British journal of ophthalmology, 2019-12, Vol.103 (12), p.1700-1703</ispartof><rights>Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2019 Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b387t-197a9608825ddc0d60d1e3aa2186923268295ffcbebf08f16e09724c6cfb6cfd3</citedby><cites>FETCH-LOGICAL-b387t-197a9608825ddc0d60d1e3aa2186923268295ffcbebf08f16e09724c6cfb6cfd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30798263$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Darcy, Kieren</creatorcontrib><creatorcontrib>Apel, Andrew</creatorcontrib><creatorcontrib>Donaldson, Mark</creatorcontrib><creatorcontrib>McDonald, Robert</creatorcontrib><creatorcontrib>Males, John</creatorcontrib><creatorcontrib>Coote, Michael</creatorcontrib><creatorcontrib>Werner, Liliana</creatorcontrib><creatorcontrib>Chan, Elsie</creatorcontrib><title>Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>AimsTo report 15 cases of intraocular lens (IOL) calcification following intraocular surgery and to identify common risk factors.MethodsA retrospective case review of patients with IOL calcification reported from the Royal Victorian Eye and Ear Hospital, Melbourne, Australia, and six surgeons in private practice in the Australian states of Victoria, New South Wales and Queensland.Results15 cases of IOL calcification were identified. Eight cases were in hydrophilic acrylic IOLs and seven in hydrophilic acrylic IOLs with hydrophobic surface properties. Five cases occurred following intraocular injection of gas during endothelial keratoplasties. Two cases occurred following pars plana vitrectomy where gas was used. The remaining eight cases did not involve the injection of any intraocular gas; six cases were following trabeculectomy surgery, and two cases were after insertion of a ‘piggyback’ sulcus IOL. In each case, the calcification had a characteristic pattern, being centrally placed in the pupillary zone, mainly affecting the anterior lens surface.ConclusionThe aetiology of IOL calcification is not fully understood, although there are known risk factors such as using hydrophilic acrylic materials and the use of intraocular gas. Surgical consideration of a patient’s ocular comorbidities before IOL implantation is an important tool to mitigate some of this risk.</description><subject>Acrylic Resins</subject><subject>Aged</subject><subject>Anterior Eye Segment - surgery</subject><subject>Calcification</subject><subject>Calcinosis - diagnosis</subject><subject>Calcinosis - etiology</subject><subject>Cataracts</subject><subject>Device Removal</subject><subject>Diabetes</subject><subject>Eye surgery</subject><subject>Female</subject><subject>Gases</subject><subject>Glaucoma</subject><subject>Humans</subject><subject>Hydrophobic surfaces</subject><subject>Intraocular lenses</subject><subject>Lenses, Intraocular</subject><subject>Licensed products</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Ophthalmologic Surgical Procedures - adverse effects</subject><subject>Posterior Eye Segment - surgery</subject><subject>Prosthesis Failure - etiology</subject><subject>Reimbursement</subject><subject>Retrospective Studies</subject><subject>Sulfur</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc-OFCEQxonR7M6O-wqGxIuXXvkzDfTRTNTdZBMveiY0FDNMaBihO2ZewOeWyYzGePJAioJffVWpDyFMyQOlXLwfD_m4n_cmTjl2jFDVccq56l-gFd0I1Z7k8BKtCCGyo1TQW3RX66GlTFB5g255-1dM8BX6uTXRBh-smUNOOHu8P7nS1EMMFhtbTucY0lxMtks0BUdIFSr2Ocb8I6QdrmBzcqaccF3KrilFfCzZgltK40LC8x6wSTOUkEu7OHzM9ZpV2E2Q5voavfImVri_xjX69unj1-1j9_zl89P2w3M3ciXnjg7SDIIoxXrnLHGCOArcGEaVGBhnQrGh996OMHqiPBVABsk2Vlg_tuP4Gr276LYJvy9QZz2FaiFGkyAvVTehXknRt92s0dt_0ENeSmrTacapkL1UdNModaFsybUW8PpYwtSWoSnRZ6_0317ps1f64lUrfXNtsIwTuD-Fv81pAL8A43T4f9lfF7qoSA</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Darcy, Kieren</creator><creator>Apel, Andrew</creator><creator>Donaldson, Mark</creator><creator>McDonald, Robert</creator><creator>Males, John</creator><creator>Coote, Michael</creator><creator>Werner, Liliana</creator><creator>Chan, Elsie</creator><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20191201</creationdate><title>Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments</title><author>Darcy, Kieren ; Apel, Andrew ; Donaldson, Mark ; McDonald, Robert ; Males, John ; Coote, Michael ; Werner, Liliana ; Chan, Elsie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b387t-197a9608825ddc0d60d1e3aa2186923268295ffcbebf08f16e09724c6cfb6cfd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acrylic Resins</topic><topic>Aged</topic><topic>Anterior Eye Segment - surgery</topic><topic>Calcification</topic><topic>Calcinosis - diagnosis</topic><topic>Calcinosis - etiology</topic><topic>Cataracts</topic><topic>Device Removal</topic><topic>Diabetes</topic><topic>Eye surgery</topic><topic>Female</topic><topic>Gases</topic><topic>Glaucoma</topic><topic>Humans</topic><topic>Hydrophobic surfaces</topic><topic>Intraocular lenses</topic><topic>Lenses, Intraocular</topic><topic>Licensed products</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Ophthalmologic Surgical Procedures - adverse effects</topic><topic>Posterior Eye Segment - surgery</topic><topic>Prosthesis Failure - etiology</topic><topic>Reimbursement</topic><topic>Retrospective Studies</topic><topic>Sulfur</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darcy, Kieren</creatorcontrib><creatorcontrib>Apel, Andrew</creatorcontrib><creatorcontrib>Donaldson, Mark</creatorcontrib><creatorcontrib>McDonald, Robert</creatorcontrib><creatorcontrib>Males, John</creatorcontrib><creatorcontrib>Coote, Michael</creatorcontrib><creatorcontrib>Werner, Liliana</creatorcontrib><creatorcontrib>Chan, Elsie</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darcy, Kieren</au><au>Apel, Andrew</au><au>Donaldson, Mark</au><au>McDonald, Robert</au><au>Males, John</au><au>Coote, Michael</au><au>Werner, Liliana</au><au>Chan, Elsie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>103</volume><issue>12</issue><spage>1700</spage><epage>1703</epage><pages>1700-1703</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><abstract>AimsTo report 15 cases of intraocular lens (IOL) calcification following intraocular surgery and to identify common risk factors.MethodsA retrospective case review of patients with IOL calcification reported from the Royal Victorian Eye and Ear Hospital, Melbourne, Australia, and six surgeons in private practice in the Australian states of Victoria, New South Wales and Queensland.Results15 cases of IOL calcification were identified. Eight cases were in hydrophilic acrylic IOLs and seven in hydrophilic acrylic IOLs with hydrophobic surface properties. Five cases occurred following intraocular injection of gas during endothelial keratoplasties. Two cases occurred following pars plana vitrectomy where gas was used. The remaining eight cases did not involve the injection of any intraocular gas; six cases were following trabeculectomy surgery, and two cases were after insertion of a ‘piggyback’ sulcus IOL. In each case, the calcification had a characteristic pattern, being centrally placed in the pupillary zone, mainly affecting the anterior lens surface.ConclusionThe aetiology of IOL calcification is not fully understood, although there are known risk factors such as using hydrophilic acrylic materials and the use of intraocular gas. Surgical consideration of a patient’s ocular comorbidities before IOL implantation is an important tool to mitigate some of this risk.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>30798263</pmid><doi>10.1136/bjophthalmol-2018-313385</doi><tpages>4</tpages></addata></record> |
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| subjects | Acrylic Resins Aged Anterior Eye Segment - surgery Calcification Calcinosis - diagnosis Calcinosis - etiology Cataracts Device Removal Diabetes Eye surgery Female Gases Glaucoma Humans Hydrophobic surfaces Intraocular lenses Lenses, Intraocular Licensed products Male Middle Aged Ophthalmologic Surgical Procedures - adverse effects Posterior Eye Segment - surgery Prosthesis Failure - etiology Reimbursement Retrospective Studies Sulfur |
| title | Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments |
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