Korean J Ophthalmol.  2010 Dec;24(6):371-373. 10.3341/kjo.2010.24.6.371.

Opacification of the Optic of an Akreos Adapt Intraocular Lens

• Lee CE
• Kim YC
• Chang SD

• KMID: 1769093
• DOI: http://doi.org/10.3341/kjo.2010.24.6.371

Abstract

A 60-year-old diabetic patient transferred to our retina clinic for a regular follow-up for diabetic retinopathy. He had uneventful cataract surgery at the time of pars plana vitrectomy in the right eye due to diabetic retinopathy at a private ophthalmologic hospital. Six months after the surgery, neovascular glaucoma with hyphema developed in the right eye and an Ahmed valve was implanted at our hospital. Ten months after cataract surgery, we found opacification of the intraocular lens (IOL) which was causing significant visual disturbance. At the time, the best corrected visual acuity (BCVA) in the right eye was hand motion. The IOL was explanted 45 months after the operation. Five months after explantation, the BCVA was 0.06. Unfortunately, pathologic analysis was not performed. Patient-related factors such as an anterior chamber reaction caused by hyphema might have been responsible for the opacification. To our knowledge, there are no previous reports of opacification of the Akreos Adapt IOL.

Keyword

Akreos; Intraocular lens; Opacification

MeSH Terms

Cataract/complications/etiology
Cataract Extraction
Device Removal
Diabetic Retinopathy/surgery
Equipment Failure
Eyeglasses
Glaucoma, Neovascular/etiology
Humans
Hyphema/etiology
Lens Implantation, Intraocular
Lenses, Intraocular/*adverse effects
Male
Middle Aged
Postoperative Complications
Vision Disorders/*etiology
Visual Acuity
Vitrectomy/methods

Figure

• 

  Fig. 1 Intraoperative photograph of the right eye showing opacification of Akreos Adapt intraocular lens (IOL). The arrows show the edges of the opacified area of the IOL.

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