Article thumbnail

Calcification of a hydrophilic acrylic intraocular lens after Descemet-stripping endothelial keratoplasty: Case report and laboratory analyses

By Melissa A. Fellman, Liliana Werner, Erica T. Liu, Shannon Stallings, Anne M. Floyd, Ivanka J. E. van der Meulen, Ruth Lapid-Gortzak and Carla P. Nieuwendaal


We describe the case of an 83-year-old woman who had uneventful phacoemulsification with implantation of a tripod hydrophilic acrylic intraocular lens (IOL). Because of postoperative corneal decompensation, 2 Descemet-stripping endothelial keratoplasty (DSEK) procedures were performed within 2 years. After the second procedure, the graft was not well attached, requiring an intracameral injection of air on day 3. Approximately 9 months later, opacification was observed on the anterior surface of the IOL, with a significant decrease in visual acuity. The IOL was explanted within the capsular bag. Laboratory analyses revealed granular deposits densely distributed in a round pattern within the margins of the capsulorhexis. Granules were located at the anterior surface/subsurface of the IOL and stained positive for calcium (alizarin red and von Kossa method). Scheimpflug photography revealed high levels of light scattering from the opacified area. Surgeons should be aware of possible localized calcification following DSEK procedures in pseudophakic patients with hydrophilic acrylic IOLs. (C) 2013 ASCRS and ESCR

Year: 2013
DOI identifier: 10.1016/j.jcrs.2013.01.028
OAI identifier:
Provided by: NARCIS
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • (external link)
  • (external link)
  • (external link)
  • Suggested articles

    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.