Hydrophilic IOL With Fine Bubble Opacities Post-PPV for RD

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File number: 28507


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    hydrophilic intraocular lens, IOL opacification
    Russell Pokroy, Assaf Harofe Medical Center, Israel
    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.

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