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OPHTHALMIC IMAGE
Year : 2019  |  Volume : 67  |  Issue : 1  |  Page : 138-139

Optical coherence tomography of intraocular lens glistening


Department of Ophthalmology, ICARE Eye Hospital and Post Graduate Institute, Noida, Uttar Pradesh, India

Date of Web Publication21-Dec-2018

Correspondence Address:
Dr. Uma Sridhar
ICARE Eye Hospital and Post Graduate Institute, E3A, Sector-26, Noida - 201 301, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1031_18

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How to cite this article:
Tripathy K, Sridhar U. Optical coherence tomography of intraocular lens glistening. Indian J Ophthalmol 2019;67:138-9

How to cite this URL:
Tripathy K, Sridhar U. Optical coherence tomography of intraocular lens glistening. Indian J Ophthalmol [serial online] 2019 [cited 2024 Mar 19];67:138-9. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?2019/67/1/138/248110



Four years after phacoemulsification and implantation of intraocular lens (IOL) in the capsular bag, this patient developed anterior-capsular phimosis and small focal shiny areas within IOL [IOL glistening, [Figure 1]]. The anterior segment optical coherence tomography [ASOCT, [Figure 2]] showed a distended posterior capsule (PC) and focal areas of hyperreflectivity within the IOL.
Figure 1: Slit lamp photo shows intraocular lens glistening as multiple small shiny areas within the substance of intraocular lens

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Figure 2: The optical coherence tomography delineated intraocular lens glistening as areas of hyperreflectivity within the intraocular lens optic and showed a distended posterior capsule with hyperreflective materials in the space between the intraocular lens and the posterior capsule

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IOL glistening is a condition of late opacification of IOLs (usually hydrophobic acrylic).[1] ASOCT can document capsular distension and abnormalities of PC.[2],[3] Usually, IOL glistening does not reduce the visual acuity. However, rarely severe IOL glistening/opacification may reduce best corrected visual acuity or cause glare or reduced contrast sensitivity and require IOL exchange.[1],[4]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Mamalis N. Intraocular lens glistenings. J Cataract Refract Surg 2012;38:1119-20.  Back to cited text no. 1
    
2.
Tripathy K. Posterior capsular cyst on anterior segment optical coherence tomography. Ophthalmology 2018;125:1324.  Back to cited text no. 2
    
3.
Tripathy K, Sharma V. Thin posterior capsule in persistent fetal vasculature causing an appearance of spontaneous posterior capsular rupture. Indian J Ophthalmol 2018;66:1616-7.  Back to cited text no. 3
[PUBMED]  [Full text]  
4.
Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg 2010;36:1398-420.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2]


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