ESCRS - CC02.02 - Late Onset Liquefied After-Cataract Looking Like Intraocular Lens Calcification: The Contribution Of Iol Identification Card To The Diagnosis.

Late Onset Liquefied After-Cataract Looking Like Intraocular Lens Calcification: The Contribution Of Iol Identification Card To The Diagnosis.

Published 2022 - 40th Congress of the ESCRS

Reference: CC02.02 | Type: Case report | DOI: 10.82333/cpg4-ze76

Authors: Panos S. Gartaganis* 1 , Menelaos Kanakis 2 , Ioannis Giannakis 1 , Efthymios Karmiris 1 , Sotirios Gartaganis 2

1Ophthalmology,251 Hellenic Airforce General Hospital,Athens,Greece, 2Ophthalmology,School of Medicine, University of Patras,Patras,Greece

To report a case of a 79-year-old woman who developed an extremely delayed liquefied aftercataract (LAC) resembling intraocular lens (IOL) opacification 16 years after uneventful phacoemulsification cataract surgery. 

1. Department of Ophthalmology, 251 Hellenic Air Force General Hospital 2. Department of Ophthalmology, Medical School, University of Patras, Greece 

A 79-year-old Greek woman was referred to our clinic with a 1-year history of progressive visual acuity impairment in the left eye with the suspicion of the diagnosis of intraocular lens opacification by the referring ophthalmologist. Based on the data from the patient implant identification card we retrieved the manufacturer’s name and model number, the design, implant material and serial number. As a result of this sentinel event, we concluded that an uneventful phacoemulsification with a continuous curvilinear capsulorhexis (CCC) and a hydrophobic acrylic intraocular lens implantation was performed 16 years previously. As the implanted lens was hydrophobic, it was practically not amenable to opacification. The patient was subsequently treated with Nd:YAG laser posterior capsulotomy with resolution of the milky fluid and complete restoration of vision.

We present a rare case of an extremely late onset LAC and highlight the importance in the clinical decision-making process of the data retrieved from IOL’s identification card, that held a critical role in establishing the correct diagnosis and treatment.