Russell Pokroy, MD » Miscellaneous

  • Hydrophilic IOL With Fine Bubble Opacities Post-PPV for RD

    Aug 21 2018 by Russell Pokroy, MD

    Anterior segment photograph of 68-year-old woman 2 years after PPV for RD shows fine bubble-like opacities in the central part of this hydrophilic intraocular lens (IOL). These opacities are thought to be due to prolonged contact of the IOL with a large gas bubble in the vitreous cavity, particularly hydrophilic acrylic IOLs exposed to C3F8 gas. In addition, perfluorocarbon liquid exposure during surgery may put the IOL at risk of gas-induced opacity development. Minor Elschnig pearls are seen anterior to the wide optic-haptic junction in the capsule bag at 6-o-clock. A large symmetric capsulotomy with a rolled edge is seen behind the IOL. The slightly decreased yet stable vision of 20/30 was thought to be due to the central opacification of the IOL.

    Photographer: Russell Pokroy, Assaf Harofe Medical Center, Israel

    Condition/keywords: hydrophilic intraocular lens, IOL opacification

  • Medium Well-Centered Capsulorrhexis With Complete Gas Fill

    Aug 21 2018 by Russell Pokroy, MD

    Anterior segment photograph of 82-year-old man 4 days after PPV. Even though this eye had a good gas fill, the IOL showed no sign of decentering or subluxating forward under the positive pressure of the vitreous bubble. The medium-sized (4mm) capsulorrhexis kept the lens stable and well-centered.

    Photographer: Russell Pokroy, Assaf Harofe Medical Center, Israel

    Condition/keywords: capsulorrhexis, intraocular lens (IOL)

  • Medium Well-Centered Capsulorrhexis Without Gas

    Aug 21 2018 by Russell Pokroy, MD

    Anterior segment photograph of 82-year-old man one month after complete gas fill. The gas has dissipated, the IOL is well-centered and anterior capsule opacification and thickening of the capsulorrhexis edge are seen.

    Photographer: Russell Pokroy, Assaf Harofe Medical Center, Israel

    Condition/keywords: capsulorrhexis, intraocular lens (IOL)

  • Subluxated Sulcus IOL With Small AC Bubble

    Aug 21 2018 by Russell Pokroy, MD

    Anterior segment photograph of 71-year-old woman with 1-piece soft IOL decentered nasally with the haptics in the ciliary sulcus. A small area of the capsule remnant is evident suprotemporally. Small gas bubble in the AC is evident two weeks after PPV. The vitreous gas bubble decentered this IOL, with some spontaneous improvement of the IOL centering after gas dissipation.

    Photographer: Russell Pokroy, Assaf Harofe Medical Center, Israel

    Condition/keywords: intraocular lens (IOL)