All that Glitters is Not Gold – Diagnosis and Misdiagnosis of Intraocular Lens Opacification

Intraocular lens opacification (IOL) is an uncommon but known entity. As the opacification involves the substance of the IOL and not the posterior capsule, as seen in posterior capsular opacification, neodymium:yttrium–aluminum–garnet (Nd:YAG) laser treatment is ineffective. Furthermore, an attempt...

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Bibliographic Details
Main Authors: Isha Chaudhari, Neha Kapur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-10-01
Series:Delhi Journal of Ophthalmology
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Online Access:https://journals.lww.com/10.4103/DLJO.DLJO_138_24
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Summary:Intraocular lens opacification (IOL) is an uncommon but known entity. As the opacification involves the substance of the IOL and not the posterior capsule, as seen in posterior capsular opacification, neodymium:yttrium–aluminum–garnet (Nd:YAG) laser treatment is ineffective. Furthermore, an attempt at a Nd:YAG laser treatment in a misdiagnosed opacified IOL, compromises the posterior capsule and jeopardizes IOL exchange, the only known treatment so far. The most commonly described cause of IOL opacification is surgical techniques involving air or gas injection. We describe three cases of IOL opacification without any history of a surgical procedure involving air or gas injection.
ISSN:0972-0200
2454-2784