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OPHTHALMIC IMAGE |
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Year : 2019 | Volume
: 67
| Issue : 1 | Page : 138-139 |
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Optical coherence tomography of intraocular lens glistening
Koushik Tripathy, Uma Sridhar
Department of Ophthalmology, ICARE Eye Hospital and Post Graduate Institute, Noida, Uttar Pradesh, India
Date of Web Publication | 21-Dec-2018 |
Correspondence Address: Dr. Uma Sridhar ICARE Eye Hospital and Post Graduate Institute, E3A, Sector-26, Noida - 201 301, Uttar Pradesh India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/ijo.IJO_1031_18
How to cite this article: Tripathy K, Sridhar U. Optical coherence tomography of intraocular lens glistening. Indian J Ophthalmol 2019;67:138-9 |
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 | | |
1. | Mamalis N. Intraocular lens glistenings. J Cataract Refract Surg 2012;38:1119-20. |
2. | Tripathy K. Posterior capsular cyst on anterior segment optical coherence tomography. Ophthalmology 2018;125:1324. |
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. [ PUBMED] [Full text] |
4. | Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg 2010;36:1398-420. |
[Figure 1], [Figure 2]
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