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A unique late-onset intraocular lens opacification 23 years after implantation: a clinical and laboratory case report.
Gartaganis, Panos S; Natsi, Panagiota D; Gartaganis, Sotirios P; Koutsoukos, Petros G; Helbig, Horst.
Afiliación
  • Gartaganis PS; Department of Ophthalmology, 251 Hellenic Air Force General Hospital, 3 Kanellopoulou Ave., Athens 11525, Greece.
  • Natsi PD; Laboratory of Inorganic and Analytical Chemistry, Department of Chemical Engineering, University of Patras and FORTH-ICEHT, Patras, Greece.
  • Gartaganis SP; Department of Ophthalmology, School of Medicine, University of Patras, Patras, Greece.
  • Koutsoukos PG; Laboratory of Inorganic and Analytical Chemistry, Department of Chemical Engineering, University of Patras and FORTH-ICEHT, Patras, Greece.
  • Helbig H; Department of Ophthalmology, University Hospital of Regensburg, Regensburg, Germany.
Ther Adv Ophthalmol ; 16: 25158414241237713, 2024.
Article en En | MEDLINE | ID: mdl-38533488
ABSTRACT
We report an unusual, rare case of opacification of the hydrophilic acrylic intraocular lens (IOL) 23 years after the initial surgery with significant visual deterioration. Opacification of the hydrophilic acrylic IOL was primarily due to the formation of folds on the surface of the lens material, and less so due to calcium phosphate deposits. Calcification opacification can be attributed to recent events, as evidenced by deposits of dicalcium phosphate dihydrate (CaHPO42H2O) and octacalcium phosphate (Ca8H2(PO4)65H2O), both of which are transient calcium phosphate phases, converting hydrolytically to the thermodynamically most stable hydroxyapatite (Ca10(PO4)6(OH)2). To our knowledge, this case of hydrophilic acrylic IOL opacification is the only one that has been described so late, 23 years after cataract surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ther Adv Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Ther Adv Ophthalmol Año: 2024 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Estados Unidos