Anterior Fibroblastic Proliferation of Lens Epithelial Cells in Acrylic Intraocular Lens.

Choi, Gye Won; Hwang, Young Hoon; Moon, Sang Woong; Kim, Jae Ho

Case Report

Journal of the Korean Ophthalmological Society 2007;48(1):162-166.
Published online January 31, 2007.

Anterior Fibroblastic Proliferation of Lens Epithelial Cells in Acrylic Intraocular Lens.

Gye Won Choi, Young Hoon Hwang, Sang Woong Moon, Jae Ho Kim

¹Department of Ophthalmology, Seoul Paik Hospital, College of Medicine, Inje University, Seoul, Korea.
²Myung Dong Eye Clinic Center, Seoul, Korea. kimjheye2003@yahoo.co.kr

아크릴릭 인공수정체안에서 동공영역으로 증식하는 전낭하 상피세포

최계원¹,황영훈¹,문상웅¹,김재호²

Department of Ophthalmology, Seoul Paik Hospital, College of Medicine, Inje University,¹ Seoul, Korea Myung Dong Eye Clinic Center², Seoul, Korea

Correspondence: Gye Won Choi, M.D.¹

Abstract

PURPOSE
To report upon two cases of anterior capsule opacification (ACO) proliferating into the pupillary region of the anterior surface of a single piece acrylic AcrySof(R) intraocular lens (IOL) (SA60AT, Alcon Laboratories, Inc., USA). The surgical removal of the ACO was also reported. METHODS: An 80-year-old woman and a 75-year-old woman underwent phacoemulsification with implantation of a single piece foldable AcrySof(R) IOL in the posterior capsular bag. ACO proliferating from the opposite sides of the IOL along the central axis were found three months after surgery. To recover visual acuity in the 80-year-old woman's eye, ACO was surgically removed with a Sinskey hook and irrigation and aspiration system. RESULTS: The patient's visual acuity was recovered after surgical removal of the ACO. Histopathologic findings of the removed tissues revealed fibroblastic proliferation of lens epithelial cells. The ACO in 75-year-old woman's eye was not treated, as it was not associated with a visual disturbance. CONCLUSIONS: In eyes containing an AcrySof(R) IOL, clinically significant ACO proliferation into the pupillary region along the central axis can occur. Surgical removal can be beneficial for recovery of visual acuity.

Key Words: AcrySof(R) intraocular lens;Anterior capsule opacification