|Year : 2019 | Volume
| Issue : 1 | Page : 138-139
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|
Dr. Uma Sridhar
ICARE Eye Hospital and Post Graduate Institute, E3A, Sector-26, Noida - 201 301, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|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 2019 Aug 22];67:138-9. Available from: http://www.ijo.in/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|
Click here to view
|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|
Click here to view
IOL glistening is a condition of late opacification of IOLs (usually hydrophobic acrylic). ASOCT can document capsular distension and abnormalities of PC., 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.,
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Mamalis N. Intraocular lens glistenings. J Cataract Refract Surg 2012;38:1119-20.
Tripathy K. Posterior capsular cyst on anterior segment optical coherence tomography. Ophthalmology 2018;125:1324.
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.
] [Full text]
Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg 2010;36:1398-420.
[Figure 1], [Figure 2]