J Korean Ophthalmol Soc > Volume 59(10); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(10):974-977.
DOI: https://doi.org/10.3341/jkos.2018.59.10.974    Published online October 15, 2018.
Two Cases of Intraoperative Acute Opacification of Hydrophilic Intraocular Lens.
Hyo Song Park, Yong Min Kim, Jong Yun Yang
1Siloam Eye Hospital, Seoul, Korea. icyyang1@gmail.com
2The Institute of Vision Research, Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
백내장수술 중 발생한 친수인공수정체의 급성 혼탁 2예
박효송1,2⋅김용민1⋅양종윤1
실로암안과병원1, 연세대학교 의과대학 안과학교실 시과학연구소2
Correspondence:  Jong Yun Yang,
Email: icyyang1@gmail.com
Received: 17 May 2018   • Revised: 29 June 2018   • Accepted: 27 September 2018
Abstract
PURPOSE
In the present study, two cases of intraoperative acute opacification of hydrophilic intraocular lens were reported. CASE SUMMARY: (Case 1) A sixty-seven year-old female presented with chronic visual impairment. Slit lamp examination revealed nuclear cataract of the left eye. Cataract surgery for her left eye was performed. A hydrophilic intraocular lens was checked before implantation and no defect was noted. Immediately after the implantation of the intraocular lens, acute whitish opacification of the intraocular lens occurred. However, the intraocular lens was not explanted, and the opacification cleared after one day. (Case 2) A 65 year-old male presented with chronic visual impairment of the left eye. Nuclear cataract of his left eye was noted, and he went through cataract surgery of the left eye. After the implantation of intraocular lens, acute whitish opacification of the intraocular lens was noted but it disappeared a day after. CONCLUSIONS: Intraoperative acute opacification of intraocular lens seems to occur due to radical temperature change. There is no need to remove or exchange the intraocular lens as opacification tends to clear within a day. No structural or mechanical change of intraocular lens was noted after opacification. Careful management of temperature for intraocular lens storage is necessary for prevention of intraoperative intraocular lens clouding.
Key Words: Intraocular lens;Opacification


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