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 Table of Contents  
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 165

Cart-wheel pattern intraocular lens glistening

VST Centre for Glaucoma Care, L. V. Prasad Eye Institute, Banjara Hills, Hyderabad, Telangana, India

Date of Web Publication01-Apr-2021

Correspondence Address:
Dr. Sirisha Senthil
VST Centre for Glaucoma Care, L. V. Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad - 500 034, Telangana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_1449_20

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How to cite this article:
Bharathi M, Senthil S. Cart-wheel pattern intraocular lens glistening. Indian J Ophthalmol Case Rep 2021;1:165

How to cite this URL:
Bharathi M, Senthil S. Cart-wheel pattern intraocular lens glistening. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Jul 29];1:165. Available from: https://www.ijoreports.in/text.asp?2021/1/2/165/312329

An 86-year-old lady, who underwent combined phacoemulsification (with foldable, acrylic, hydrophilic, posterior chamber intraocular lens (IOL) and trabeculectomy elsewhere presented to us with decrease in vision in her left eye (LE) (20/60). The LE showed in-the-bag IOL with multiple, scattered, “cart-wheel” pattern deposits on the posterior surface of the IOL [Figure 1].
Figure 1: Slit lamp image showing in-the-bag placed intraocular lens with “cart-wheel” pattern of IOL glistening

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The IOL material, manufacturing and packaging process, ocular conditions like glaucoma and uveitis, interaction with intraocular gas/air, simultaneous phaco-trabeculectomy, and medications that cause disruption of the blood-aqueous barrier have been implicated to cause alteration in the IOL material and/or aqueous humor properties resulting in opacification and glistening.[1],[2],[3],[4]

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Hyderabad Eye Institute, Hyderabad, India.

Conflicts of interest

There are no conflicts of interest.

  References Top

Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg 2010;36:1398-420.  Back to cited text no. 1
MacLean KD, Apel A, Wilson J, Werner L. Calcification of hydrophilic acrylic intraocular lenses associated with intracameral air injection following DMEK. J Cataract Refract Surg 2015;41:1310-4.  Back to cited text no. 2
Colin J, Orignac I, Touboul D. Glistenings in a large series of hydrophobic acrylic intraocular lenses. J Cataract Refract Surg 2009;35:2121-6.  Back to cited text no. 3
Moreno-Montañés J, Alvarez A, Rodríguez-Conde R, Fernández-Hortelano A. Clinical factors related to the frequency and intensity of glistenings in AcrySof intraocular lenses. J Cataract Refract Surg 2003;29:1980-4.  Back to cited text no. 4


  [Figure 1]


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