Surface calcification of silicone plate intraocular lenses in patients with asteroid hyalosis.

Abstract:

PURPOSE:To report three cases in which a silicone-plate lens was explanted because of whitish deposits on the posterior optic surface. DESIGN:Observational case series with clinicopathological correlation. PATIENTS AND METHODS:In the three instances, the deposits were observed at least 2 years after uneventful cataract surgery. All of the patients had unilateral mild asteroid hyalosis in the concerned eye. After explantation of the lenses, gross and light microscopic analyses were performed. The posterior optic surfaces of the lenses also underwent scanning electron microscopy coupled with energy dispersive x-ray spectroscopy for analysis of the elemental composition of the deposits. RESULTS:Gross and light microscopic analyses revealed well-demarcated areas of whitish deposits on the posterior optic surface of the lenses, as well as multiple pits caused by Neodymium:yttrium aluminum garnet laser treatments. The deposits formed an amorphous layer with a "crustlike" appearance, which was confirmed by scanning electron microscopy. X-ray spectroscopy analyses demonstrated the composition of the deposits to be similar to hydroxyapatite. CONCLUSIONS:The material opacifying the lenses was probably derived from the asteroid bodies or from a similar process that results in this vitreous condition. We were unaware of this association between asteroid hyalosis and late postoperative dystrophic calcification of silicone lenses.

journal_name

Am J Ophthalmol

authors

Foot L,Werner L,Gills JP,Shoemaker DW,Phillips PS,Mamalis N,Olson RJ,Apple DJ

doi

10.1016/j.ajo.2003.12.047

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

979-87

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002939403016349

journal_volume

137

pub_type

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