Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400255 |
Resumo: | ABSTRACT A 51-year-old patient underwent posterior vitrectomy with perfluoropropane gas injection, phacoemulsification, and implantation of an Oft Cryl® hydrophilic acrylic intraocular lens (IOL) because of traumatic retinal detachment and cataract in the right eye. On the first postoperative day, gas was filling the anterior chamber because of patient's non-compliance in terms of head positioning, and was reabsorbed within one week. Eight months later, the patient returned complaining of a significant decrease in vision. IOL opacification was noticed by slit-lamp examination. The lens was explanted to undergo gross and light microscopic analysis. The lens was also stained with the alizarin red method for calcium identification. Light microscopic analysis confirmed the presence of granular deposits, densely distributed in an overall circular pattern in the central part of the lens optic. The granules stained positive for calcium. This is the first case of the opacification of this type of hydrophilic lens. Surgeons should be aware of this potential postoperative complication, and the use of hydrophilic IOLs should be avoided in procedures involving intracameral gas because of the risk of IOL opacification. |
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Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lensVitrectomyIntraocular lensLens implantationHydrophilic contact lensCapsule opacificationABSTRACT A 51-year-old patient underwent posterior vitrectomy with perfluoropropane gas injection, phacoemulsification, and implantation of an Oft Cryl® hydrophilic acrylic intraocular lens (IOL) because of traumatic retinal detachment and cataract in the right eye. On the first postoperative day, gas was filling the anterior chamber because of patient's non-compliance in terms of head positioning, and was reabsorbed within one week. Eight months later, the patient returned complaining of a significant decrease in vision. IOL opacification was noticed by slit-lamp examination. The lens was explanted to undergo gross and light microscopic analysis. The lens was also stained with the alizarin red method for calcium identification. Light microscopic analysis confirmed the presence of granular deposits, densely distributed in an overall circular pattern in the central part of the lens optic. The granules stained positive for calcium. This is the first case of the opacification of this type of hydrophilic lens. Surgeons should be aware of this potential postoperative complication, and the use of hydrophilic IOLs should be avoided in procedures involving intracameral gas because of the risk of IOL opacification.Conselho Brasileiro de Oftalmologia2016-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400255Arquivos Brasileiros de Oftalmologia v.79 n.4 2016reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20160072info:eu-repo/semantics/openAccessVentura,Bruna VieiraMacLean,Kyle DouglasLira,WagnerOliveira,Daniele Mendes deVentura,Camila VieiraWerner,Lilianaeng2016-09-05T00:00:00Zoai:scielo:S0004-27492016000400255Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2016-09-05T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
title |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
spellingShingle |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens Ventura,Bruna Vieira Vitrectomy Intraocular lens Lens implantation Hydrophilic contact lens Capsule opacification |
title_short |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
title_full |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
title_fullStr |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
title_full_unstemmed |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
title_sort |
Microscopic analysis of an opacified OFT CRYL® hydrophilic acrylic intraocular lens |
author |
Ventura,Bruna Vieira |
author_facet |
Ventura,Bruna Vieira MacLean,Kyle Douglas Lira,Wagner Oliveira,Daniele Mendes de Ventura,Camila Vieira Werner,Liliana |
author_role |
author |
author2 |
MacLean,Kyle Douglas Lira,Wagner Oliveira,Daniele Mendes de Ventura,Camila Vieira Werner,Liliana |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Ventura,Bruna Vieira MacLean,Kyle Douglas Lira,Wagner Oliveira,Daniele Mendes de Ventura,Camila Vieira Werner,Liliana |
dc.subject.por.fl_str_mv |
Vitrectomy Intraocular lens Lens implantation Hydrophilic contact lens Capsule opacification |
topic |
Vitrectomy Intraocular lens Lens implantation Hydrophilic contact lens Capsule opacification |
description |
ABSTRACT A 51-year-old patient underwent posterior vitrectomy with perfluoropropane gas injection, phacoemulsification, and implantation of an Oft Cryl® hydrophilic acrylic intraocular lens (IOL) because of traumatic retinal detachment and cataract in the right eye. On the first postoperative day, gas was filling the anterior chamber because of patient's non-compliance in terms of head positioning, and was reabsorbed within one week. Eight months later, the patient returned complaining of a significant decrease in vision. IOL opacification was noticed by slit-lamp examination. The lens was explanted to undergo gross and light microscopic analysis. The lens was also stained with the alizarin red method for calcium identification. Light microscopic analysis confirmed the presence of granular deposits, densely distributed in an overall circular pattern in the central part of the lens optic. The granules stained positive for calcium. This is the first case of the opacification of this type of hydrophilic lens. Surgeons should be aware of this potential postoperative complication, and the use of hydrophilic IOLs should be avoided in procedures involving intracameral gas because of the risk of IOL opacification. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400255 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000400255 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/0004-2749.20160072 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.79 n.4 2016 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
_version_ |
1754209029037490176 |