Delhi Journal of Ophthalmology

Late Opacification of PCIOL

Mohmad Uzair, Amit Mehtani, Deepak Varma, Jatinder S. Bhalla
Department of Ophthalmology, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Mohmad Uzair (M.S)
Senior Resident, Department of Ophthalmology, Deen Dayal Upadhyay Hospital, Hari Nagar, New Delhi- 110064
Email id: Mohmad.uzair90.mu@gmail.com


Received: 29-APR-2020 Accepted: 07-MAY-2020 Published Online: 20-DEC-2020
DOI: https://dx.doi.org/10.7869/djo.596

Abstract
A 63 year male presented with diminished vision in right eye from the past 6 months. The patient had undergone cataract surgery in both eyes. The right eye was operated in 5 years back and left eye was operated in 6 years back. The patient was asymptomatic for 4.5 years postoperative when he started to notice glare in his vision in the right eye. The glare gradually progressed to diminished vision in the right eye. On slit lamp biomicroscopy, a well centered foldable PCIOL was seen with multiple crystalline opacities. On examination at higher magnification, the opacities were found to be within and around the optic substance. Patient underwent IOL exchange with acrylic hydrophobic PCIOL. The Explanted IOL was found with very large calcified deposits on the surface of the lens, as well as smaller multiple calcified deposits within the subsurface of the lens, in both optic and loop components. 

Keywords :Iol Opacification, Tertiary Cataract