Clinic in pseudocataract

Abstract

Purpose: Pseudocataract development with calcium and phosphate deposition in hydrophilic acrylic intraocular lens (IOL) as a result of unqualified production was noted in 5 cases from 2 ophthalmology clinics and the cases were presented herein to point out the subject.Methods: Intraocular lens exchange was performed in 4 of 5 pseudocataract cases with opacified TOLs who were referred to Uludag University, Faculty of Medicine; Ophthalmoldgy Department and Bahar Goz Merkezi with the complaints of decreased visual acuity following cataract operation at different clinics.Results: One of the three patients who was referred to Uludag University, Faculty of Medicine, Ophthalmology Department with the complaint of decreased visual acuity was 57-year-old male who had insulin dependent diabetes for 20 years and had undergone cataract surdery one year before. The other patient was 53-year -old female with type 2 diabetes for 15 years and had glaucoma treated with timolol maleate. She was referred to the clinic with the complaint of decreased visual acuity following the cataract extraction 3 years before. The third case was a male patient who had undergone bilateral cataract surgery 5 years before and complained of pale vision in his right eye. One of the extracted IOL was Ophthalmed ACRL-C16 (SN: 00069-0405) which had been implanted in 2001. The brand of the other extracted IOL was unclear. One of the patients who was admitted to Bahar Go Merkezi was 53-year-old female with type 2 diabetes. She had undergone cataract extraction and IOL (Aqua Sense) implantation 3 years before and her examination revealed visual acuity of 3 mfc. The other patient was a 80- year old male with a visual acuity-of 2 mfc who had undergone cataract surgery for his right eye. Both cases underwent IOL exchange. All the extracted IOLs were acrylic. And the optics were particularly opacifled. The brands of only 2 IOLs were known.Conclusion: Three of the 5 pseudocataract cases were diabetic and 4 of them underwent IOL exchange. The relation of diabetes with psedocataract has been also implied by other authors. One of the cases was followed up without IOL exchange as he had a relatively good visual. acuity. The patients who undergo cataract extraction and hydrophilic acrylic IOL implantation, particularly the diabetics, should be followed up for at least 2 years after the surgery.