Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy

Nitish Mehta,1 Roger A Goldberg,2 Chirag P Shah21University of Massachusetts Medical School, Worcester, MA, USA; 2Department of Retina, Ophthalmic Consultants of Boston, Boston, Massachusetts, USAPurpose: Dense, vision-obscuring calcification on the posterior aspect of silicone intraocular lenses (...

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Autores principales:	Mehta N, Goldberg RA, Shah CP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f00aaf431f0f474e852bdf968c80c9b0
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spelling	oai:doaj.org-article:f00aaf431f0f474e852bdf968c80c9b02021-12-02T05:42:23ZTreatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy1177-5483https://doaj.org/article/f00aaf431f0f474e852bdf968c80c9b02014-07-01T00:00:00Zhttp://www.dovepress.com/treatment-of-dystrophic-calcification-on-a-silicone-intraocular-lens-w-a17516https://doaj.org/toc/1177-5483 Nitish Mehta,1 Roger A Goldberg,2 Chirag P Shah21University of Massachusetts Medical School, Worcester, MA, USA; 2Department of Retina, Ophthalmic Consultants of Boston, Boston, Massachusetts, USAPurpose: Dense, vision-obscuring calcification on the posterior aspect of silicone intraocular lenses (IOLs) is often not amenable to neodymium:yttrium-aluminum-garnet capsulotomy, and, in prior reports, has required IOL exchange. We report the successful removal of dense calcium deposition on the posterior surface of a three-piece silicone lens using pars plana vitrectomy (PPV).Materials and methods: A 23-gauge PPV was performed using the Stellaris® vitrectomy system. A light pipe was used to retroilluminate the IOL, and a dense fibrous tissue setting with a low cut-rate and high aspiration rate was able to clear the visual axis of the dystrophic calcification without damaging the IOL optic.Results: Visual acuity improved from 20/100 to 20/25.Conclusion: Small-gauge PPV may be utilized to remove dense dystrophic calcium deposits on the lens surface in lieu of IOL exchange. Keywords: cataract surgery, technique, Nd:YAG capsulotomy, IOL exchangeMehta NGoldberg RAShah CPDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 1291-1293 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Mehta N Goldberg RA Shah CP Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
description	Nitish Mehta,1 Roger A Goldberg,2 Chirag P Shah21University of Massachusetts Medical School, Worcester, MA, USA; 2Department of Retina, Ophthalmic Consultants of Boston, Boston, Massachusetts, USAPurpose: Dense, vision-obscuring calcification on the posterior aspect of silicone intraocular lenses (IOLs) is often not amenable to neodymium:yttrium-aluminum-garnet capsulotomy, and, in prior reports, has required IOL exchange. We report the successful removal of dense calcium deposition on the posterior surface of a three-piece silicone lens using pars plana vitrectomy (PPV).Materials and methods: A 23-gauge PPV was performed using the Stellaris® vitrectomy system. A light pipe was used to retroilluminate the IOL, and a dense fibrous tissue setting with a low cut-rate and high aspiration rate was able to clear the visual axis of the dystrophic calcification without damaging the IOL optic.Results: Visual acuity improved from 20/100 to 20/25.Conclusion: Small-gauge PPV may be utilized to remove dense dystrophic calcium deposits on the lens surface in lieu of IOL exchange. Keywords: cataract surgery, technique, Nd:YAG capsulotomy, IOL exchange
format	article
author	Mehta N Goldberg RA Shah CP
author_facet	Mehta N Goldberg RA Shah CP
author_sort	Mehta N
title	Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
title_short	Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
title_full	Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
title_fullStr	Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
title_full_unstemmed	Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
title_sort	treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/f00aaf431f0f474e852bdf968c80c9b0
work_keys_str_mv	AT mehtan treatmentofdystrophiccalcificationonasiliconeintraocularlenswithparsplanavitrectomy AT goldbergra treatmentofdystrophiccalcificationonasiliconeintraocularlenswithparsplanavitrectomy AT shahcp treatmentofdystrophiccalcificationonasiliconeintraocularlenswithparsplanavitrectomy
_version_	1718400267510087680

Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy

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