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OPHTHALMIC IMAGE
Year : 2021  |  Volume : 1  |  Issue : 4  |  Page : 870

Intraocular lens calcification following phacotrabeculectomy in aniridic glaucoma


Aravind Eye Hospital, Chennai, Tamilnadu, India

Date of Web Publication09-Oct-2021

Correspondence Address:
Dr. Prasanna Venkataraman
Aravind Eye Hospital, Poonamallee High Road, Noombal, Chennai, Tamil Nadu - 600 077
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_892_21

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How to cite this article:
Venkataraman P, Nithila PE, Mohan N. Intraocular lens calcification following phacotrabeculectomy in aniridic glaucoma. Indian J Ophthalmol Case Rep 2021;1:870

How to cite this URL:
Venkataraman P, Nithila PE, Mohan N. Intraocular lens calcification following phacotrabeculectomy in aniridic glaucoma. Indian J Ophthalmol Case Rep [serial online] 2021 [cited 2021 Oct 28];1:870. Available from: https://www.ijoreports.in/text.asp?2021/1/4/870/327712



A 34-year-old aniridic patient presented with defective vision in the right eye (RE) (20/200). He had undergone combined phacotrabeculectomy 2 years back. The RE showed an in-the-bag intraocular lens (IOL) with white flaky calcifications [Figure 1]a and open posterior capsule. The anterior segment optical coherence tomography confirmed the same with calcifications more on the anterior IOL surface [Figure 1]b.
Figure 1: (a) Slit lamp retroillumination image showing dense calcifications on intraocular lens with open posterior capsule. (b) Anterior segment optical coherence tomography showing intraocular lens calcification

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IOL calcification is a rare complication following intraocular surgery necessitating IOL exchange. Though the exact pathomechanism is unclear, the use of Mitomycin-C during trabeculectomy, breakdown of blood-ocular barrier, ophthalmic viscosurgical devices, and raised intraocular pressure have been implicated in the pathogenesis.[1],[2]

Financial support and sponsorship

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Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Darcy K, Apel A, Donaldson M, McDonald R, Males J, Coote M, et al. Calcification of hydrophilic acrylic intraocular lenses following secondary surgical procedures in the anterior and posterior segments. Br J Ophthalmol 2019;103:1700-3.  Back to cited text no. 1
    
2.
Neuhann IM, Kleinmann G, Apple DJ. A new classification of calcification of intraocular lenses. Ophthalmology 2008;115:73-9.  Back to cited text no. 2
    


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