Skip to main content
SpringerLink
Log in

Eintrübung einer Intraokularlinse

Kalzifizierung hydrophiler Intraokularlinsen nach Lufttamponade der Vorderkammer

Opacification of an intraocular lens

Calcification of hydrophilic intraocular lenses after gas tamponade of the anterior chamber

  • Kasuistiken
  • Published:
Der Ophthalmologe Aims and scope Submit manuscript

Zusammenfassung

Bei einer Patientin mit Endotheldystrophie wurde eine endotheliale Hornhauttransplantation (DSAEK) in Kombination mit einer Kataraktoperation und Implantation einer hydrophilen Intraokularlinse (Lentis-L312, Oculentis GmbH) durchgeführt. Achtzehn Monate nach diesem Eingriff war der Visus aufgrund einer Intraokularlinsenkalzifizierung von 0,15 auf 0,52 logMAR abgefallen. Mit der Verbreitung lamellärer Transplantationstechniken steigt die Frequenz an notwendigen Vorderkammertamponaden mit Gas. Hydrophile Linsen sollten bei Patienten mit Hornhautpathologien und möglichen späteren Transplantationen vermieden werden.

Abstract

A patient with endothelial dystrophy was treated with Descemet stripping automated endothelial keratoplasty (DSAEK) combined with cataract extraction and implantation of a hydrophilic intraocular lens (IOL, Lentis-L312, Oculentis) but visual acuity dropped from 0.15 logMAR to 0.52 logMAR 18 months later due to calcification of the IOL. With new methods of lamellar corneal transplantation being used more frequently the number of necessary anterior chamber tamponades with air/gas are increasing. In cataract cases in which a gas tamponade and transplantation might be necessary later on (cornea guttata), hydrophilic IOLs should be avoided.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3

Literatur

  1. Tourtas T et al (2012) Descemet membrane endothelial keratoplasty versus descemet stripping automated endothelial keratoplasty. Am J Ophthalmol 153(6):1082–1090

    Article  PubMed  Google Scholar 

  2. Khoramnia R et al (2012) Opacification of a hydrophilic intraocular lens 4 years after cataract surgery. A biomaterial analysis. Ophthalmologe 109(5):483–486

    Article  PubMed  CAS  Google Scholar 

  3. Drimtzias EG et al (2011) Experimental investigation on mechanism of hydrophilic acrylic intraocular lens calcification. Am J Ophthalmol 152(5):824–833

    Article  PubMed  CAS  Google Scholar 

  4. Mamalis N et al (2008) Complications of foldable intraocular lenses requiring explantation or secondary intervention – 2007 survey update. J Cataract Refract Surg 34(9):1584–1591

    Article  PubMed  Google Scholar 

  5. Tanaka K et al (2012) Calcification and membrane formation on the surface of intraocular lenses in a rabbit model. Curr Eye Res 37(6):471–478

    Article  PubMed  CAS  Google Scholar 

  6. Werner L et al (2012) Localized calcification of hydrophilic acrylic intraocular lenses in association with intracameral injection of gas. J Cataract Refract Surg 38(4):720–721

    Article  PubMed  Google Scholar 

  7. Saeed MU, Singh AJ, Morrell AJ (2006) Sequential Descemet’s membrane detachments and intraocular lens haze secondary to SF6 or C3F8. Eur J Ophthalmol 16(5):758–760

    PubMed  CAS  Google Scholar 

  8. Dhital A et al (2012) Calcification in hydrophilic intraocular lenses associated with injection of intraocular gas. Am J Ophthalmol 153(6):1154–1160

    Article  PubMed  Google Scholar 

  9. Neuhann IM, Neuhann TF, Rohrbach JM (2012) Intraocular lens calcification after keratoplasty. Cornea 32(4):e6–e10

    Article  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt für sich und seine Koautoren an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Abteilung für Augenheilkunde, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich

    G. Schmidinger MD & B. Pemp

  2. University of Utah, 84132, Salt Lake City, Utah, USA

    L. Werner

Authors
  1. G. Schmidinger MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. B. Pemp
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. L. Werner
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to G. Schmidinger MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Schmidinger, G., Pemp, B. & Werner, L. Eintrübung einer Intraokularlinse. Ophthalmologe 110, 1066–1068 (2013). https://doi.org/10.1007/s00347-013-2793-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00347-013-2793-2

Schlüsselwörter

Keywords

Search

Navigation