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Eintrübung einer hydrophilen Intraokularlinse 4 Jahre nach Kataraktoperation

Eine Biomaterialanalyse

Opacification of a hydrophilic intraocular lens 4 years after cataract surgery

A biomaterial analysis

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Zusammenfassung

Die Kalzifikation von hydrophilen Intraokularlinsen (IOL) ist eine seltene Komplikation. Wir berichten über den komplikationslosen Austausch einer eingetrübten hydrophilen IOL. Vier Jahre nach unproblematischer Kataraktoperation war es zu einer Kalzifikation der IOL mit resultierender Visusminderung gekommen. Makroskopisch zeigte sich eine Eintrübung der Optik und Haptiken. Licht- und rasterelektronenmikroskopisch konnten wir neben granulären Auflagerungen auf der IOL zahlreiche feine, granuläre Ablagerungen in der Optik nachweisen, die in einer zur Oberfläche parallelen Linie angeordnet waren.

Abstract

Calcification of hydrophilic intraocular lenses (IOL) is a rare complication. We report about the uneventful replacement of an opacified hydrophilic IOL. The patient presented 4 years after uneventful cataract surgery with a reduction of visual acuity due to calcification of the IOL. Macroscopically, the optic and the haptics were opacified. Light and scanning electron microscopy revealed granular deposits on the external surface of the IOL and numerous fine granular deposits within the optic of the IOL which were distributed in a line parallel to the surface of the IOL.

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Authors and Affiliations

  1. International Vision Correction Research Centre, Universitäts-Augenklinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland

    R. Khoramnia, G.U. Auffarth & S. Schmidt

  2. Augenklinik und Poliklinik, Universität Würzburg, Würzburg, Deutschland

    J.P. Salgado

  3. Augenklinik, Klinikum rechts der Isar der Technischen Universität München, München, Deutschland

    A. Wegner, K.A. Kobuch & C. Winkler von Mohrenfels

Authors
  1. R. Khoramnia
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  2. J.P. Salgado
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  3. G.U. Auffarth
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  4. S. Schmidt
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  5. A. Wegner
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  6. K.A. Kobuch
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  7. C. Winkler von Mohrenfels
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Correspondence to R. Khoramnia.

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Khoramnia, R., Salgado, J., Auffarth, G. et al. Eintrübung einer hydrophilen Intraokularlinse 4 Jahre nach Kataraktoperation. Ophthalmologe 109, 483–486 (2012). https://doi.org/10.1007/s00347-011-2487-6

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  • DOI: https://doi.org/10.1007/s00347-011-2487-6

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