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Pars plana vitrectomy for posterior surface calcification in a silicone intraocular lens in asteroid hyalosis – a report of mistaken identity?

Authors Rainsbury P, Lochhead J

Received 18 September 2014

Accepted for publication 22 September 2014

Published 13 November 2014 Volume 2014:8 Pages 2239—2241

DOI https://doi.org/10.2147/OPTH.S74532

Checked for plagiarism Yes

Editor who approved publication: Dr Scott Fraser


Supplementary video for ID 74532

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Paul G Rainsbury,1 Jonathan Lochhead2

1Eye Unit, Queen Alexandra Hospital, Cosham, Portsmouth, Hants, UK; 2Eye Unit, St Mary’s Hospital, Newport, Isle of Wight, UK

Mehta et al recently reported removal of dystrophic calcification on the posterior surface of a silicone intraocular lens (IOL) in a patient with asteroid hyalosis.1 In this case the authors used pars plana vitrectomy (PPV) to successfully remove calcified deposits. We have recently tried unsuccessfully to use PPV to treat an 86 year old patient with calcification of a silicone IOL in the presence of asteroid hyalosis. We chose to avoid IOL exchange due to a history of Fuchs endothelial dystrophy and glaucoma in the left eye, and a failed corneal graft in a rubeotic eye on the right. Our patient did not have an intact posterior capsule having been treated with Nd:YAG capsulotomy 2 years previously, before the calcification occurred.

View original paper by Mehta and colleagues.


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