Late Opacification of PCIOL

Late Opacification of PCIOL

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A 63 year male presented with diminished vision in right eye from the past 6 months.The patient had undergone cataract surgery in both eyes.The right eye was operated in 5 years back and left eye QUICK D was operated in 6 years back.The patient was asymptomatic for 4.5 years postoperative when he started to notice glare in his vision in the right eye.

The glare gradually progressed to diminished vision in the right eye.On slit lamp biomicroscopy, a well centered foldable PCIOL was seen with multiple crystalline opacities.On examination at higher magnification, the opacities were found to be within and around the optic substance.Patient underwent IOL Exercise ball exchange with acrylic hydrophobic PCIOL.The Explanted IOL was found with very large calcified deposits on the surface of the lens, as well as smaller multiple calcified deposits within the subsurface of the lens, in both optic and loop components.