Radiation Maculopathy in Patients with Malignant Melanoma of the Corpus Ciliare and Choroidea Following One-Day Session of Stereotactic Radiosurgery
Authors:
Marianna Otrošinová 1; Jan Novák 1; Vladimír Krásnik 2
Authors‘ workplace:
Nemocnice Pardubického kraje a. s., Pardubická nemocnice, Oční, oddělení
1; Klinika oftalmológie LF a UK, Bratislava
2
Published in:
Čes. a slov. Oftal., 80, 2024, No. 3, p. 170-174
Category:
Case Report
doi:
https://doi.org/10.31348/2024/22
Overview
The aim of the thesis is to present the case of a patient in whom bilateral calcification of the hydrophilic intraocular lens (IOL) Lentis M+
LS-313 MF30 (Oculentis) has developed. Due to the negative effect on visual functions, explantation and replacement of the artificial lens was necessary in both eyes.
Case Report: An overview of the available literature summarized the diagnostics, current examination methods and possibilities of the surgical solution of calcification of the bifocal hydrophilic lens Lentis M+ LS-313 MF30 (Oculentis). The specific solution is described in a case report of a patient in whom calcification of both lenses developed 6 years after implantation of the IOL. In 2015, the patient underwent uncomplicated cataract surgery of both eyes with the implantation of an artificial intraocular lens into the capsule. In September 2021,
an 82-year-old man was examined at our outpatient clinic for deterioration of visual acuity and changes in the material of the artificial IOL which were perceptible during a clinical examination, on the recommendation of a local ophthalmologist. Blurred vision predominated. A diagnosis of intraocular lens opacification was confirmed and documented using a Scheimpflug camera (OCULUS Pentacam HR) and anterior OCT (Avanti RTVue XR Optovue,). The patient was indicated for explantation and replacement of the opacified intraocular lens in the left and subsequently in the right eye- The same type of IOL was used for reimplantation with good functional results.
Conclusion: Since 2010, multifocal lens implantation has been on an upward trend worldwide. This type of MF IOL has also been used in thousands of implantations. A number of other explantations can be expected in the coming years. The optimal solution is the correct replacement of the calcified IOL with the same construction made of safer hydrophobic material.
Keywords:
Pentacam – Calcification – opacification – hydrophilic acrylic lens – anterior segment OCT
Sources
1. Schmidinger G, Pemp B, Werner L. Opacification of an intraocular lens: calcification of hydrophilic intraocular lenses after gas tamponade of the anterior chamber. Ophthalmologe. 2013;110:1066-1068.
2. Neuhann IM, Werner L, Izak AM, et al. Late postoperative opacification of a hydrophilic acrylic (hydrogel) intraocular lens: a clinicopathological analysis of 106 explants. Ophthalmology. 2004;111:2094-2101.
3. Park JC, Habib NE, Moate RM. Intraocular lens opacification after corneal endothelial keratoplasty: electron microscopy and x-ray element spectroscopy analysis. J Cataract Refract Surg. 2015;41:140-145.
4. Lee SJ, Choi JH, Sun HJ, Choi KS Jung GY. Surface calcification of hydrophilic acrylic intraocular lens related to inflammatory membrane formation after combined vitrectomy and cataract surgery. J Cataract Refract Surg. 2010;36(4):676-681.
5. Werner L, Wilbanks G, Nieuwendaal CP et al. Localized opacification of hydrophilic acrylic intraocular lenses after procedures using intracameral injection of air or gas. J Cataract Refract Surg. 2015;41:199-207.
6. Werner L. Causes of intraocular lens opacification or discoloration. J Cataract Refract Surg. 2007;33:713-726.
7. Neuhann IM, Kleinmann G, Apple DJ. A new classification of calcification of intraocular lenses. Ophthalmology. 2008;115(1):73-79.
8. Otrosinova M, Novak J, Kvasnicka J, Zidek O. Late postoperative opacification of a hydrophobic acrylic intraocular lens AcryNova-
TMPC 610Y. Cesk Slov Oftalmol. 2019;75(4):172-179.
9. Yamashita K, Hayashi K, Hata S. Toric lentis Mplus intraocular lens opacification: A case report. Am J Ophthalmol Case Rep. 2020;18:100672.
10. Abela-Formanek C, Amon M, Schauersberger J et al. Uveal and capsular biocompatibility of 2 foldable acrylic intraocular lenses in patients with uveitis or pseudoexfoliation syndrome: comparison to a control group. J Cataract Refract Surg. 2002;28(7):1160-1172.
11. Dhital A, Spalton DJ, Goyal S, Werner L. Calcification in hydrophilic intraocular lenses associated with injection of intraocular gas. Am J Ophthalmol. 2012;153:1154-1160.
12. Werner L, Apple DJ, Kaskaloglu M, Pandey SK. Dense opacification of the optical component of a hydrophilic acrylic intraocular lens: a clinicopathological analysis of 9 explanted lenses. J Cataract Refract Surg. 2001;27(9):1485-1492.
13. Choudhry S, Goel N, Mehta A, Mahajan N. Anterior segment optical coherence tomography of intraocular lens opacification. Indian J Ophthalmol. 2018;66:858-860.
14. Kohnen T, Hemkeppler E, Herzog M, et al. Visual outcomes after implantation of a segmental refractive multifocal intraocular lens following cataract surgery. Am J Ophthalmol. 2018;191:156-165.
15. Cavallini GM, Volante V, Campi L, De Maria M, Fornasari E, Urso G. Postoperative diffuse opacification of a hydrophilic acrylic intraocular lens: analysis of an explant. Int Ophthalmol. 2018;38:1733-1739.
16. Dhital A, Spalton DJ, Goyal S, Werner L. Calcification in hydrophilic intraocular lenses associated with injection of intraocular gas. Am J Ophthalmol. 2012;153(6):1154-1160.
17. Mendicute J, Irigoyen C, Ruiz M, Illarramendi I, Ferrer-Blasco T, Montes-Mico R. Toric intraocular lens versus opposite clear corneal incisions to correct astigmatism in eyes having cataract surgery.
J Cataract Refract Surg. 2009;35(3):451-458.
18. Bompastor-Ramos P, Povoa J, Lobo C et al. Late postoperative opacification of a hydrophilic–hydrophobic acrylic intraocular lens. J Cataract Refract Surg. 2016;42:1324-1331.
19. Tetz M, Werner L. Regarding the paper: hydroview lens implant calcification—186 exchanges at a district general hospital, by P Syam et al. Eye (Lond). 2008;22:323-324.
20. Bang SP, Moon K, Lee JH, Jun JH, Joo CK. Subsurface calcification of hydrophilic refractive multifocal intraocular lenses with a hydrophobic surface: A case series. Medicine (Baltimore). 2019 Dec;98(50):e18379
21. Gartaganis SP, Prahs P, Lazari ED, Gartaganis PS, Helbig H, Koutsoukos PG. Calcification of hydrophilic acrylic intraocular lenses with a hydrophobic surface: laboratory analysis of 6 cases. Am J Ophthalmol. 2016;168:68-77.
22. Marcovich AL, Tandogan T, Bareket M et al. Opacification of hydrophilic intraocular lenses associated with vitrectomy and injection of intraocular gas. BMJ Open Ophthalmol. 2018;3:e000157.
23. Gurabardhi M, Haberle H, Aurich H, Werner L, Pham DT. Serial intraocular lens opacifications of different designs from the same manufacturer: Clinical and light microscopic results of 71 explant cases. J Cataract Refract Surg. 2018;44:1326-1332.
24. Tehrani M, Mamalis N, Wallin T et al. Late postoperative opacification of MemoryLens hydrophilic acrylic intraocular lenses: case series and review. J Cataract Refract Surg. 2004;30:115-122.
25. Cartwright NEK, Mayer EJ, McDonald BM et al. Ultrastructural evaluation of explanted opacified Hydroview (H60M) intraocular lenses. Br J Ophthalmol. 2007;91:243-247.
26. Rezaei-Kanavi M, Javadi MA, Mirbabaei-Ghafghazi F. Intraocular lens calcification; a clinicopathologic report. J Ophthalmic Vis Res. 2009;4(2):122-124.
Labels
OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2024 Issue 3
Most read in this issue
- Radiation Maculopathy in Patients with Malignant Melanoma of the Corpus Ciliare and Choroidea Following One-Day Session of Stereotactic Radiosurgery
- Visual Neuroprosthesis – Stimulation of Visual Cortical Centers in The Brain. Design of Non-Invasive Transcranial Stimulation of Functional Neurons
- Therapy for Vitreous Seeding Caused by Retinoblastoma. A Review
- Evaluation of Clinical Results of Implantation of Toric Intraocular Lenses Including their Rotational Stability