Case Report
Year: 2021 | Month: September | Volume: 11 | Issue: 9 | Pages: 133-136
DOI: https://doi.org/10.52403/ijhsr.20210920
Tertiary Cataract- A Rare Postoperative Complication after Cataract Surgery: A Case Study
Seema Channabasappa1, Sheetal Girimallanavar2, Aiswarya Ann Jose3, Divya Rose Cyriac4
1Professor, Ophthalmology, MS, VIMS & RC, Bengaluru, Karnataka, India
2Assistant Professor, Ophthalmology, MS, DNB, VIMS & RC, Bengaluru, Karnataka, India
3Junior Resident, Ophthalmology, VIMS & RC, Bengaluru, Karnataka, India
4Junior Resident, Ophthalmology, VIMS & RC, Bengaluru, Karnataka, India
Corresponding Author: Sheetal. V. Girimallanavar
ABSTRACT
Introduction: IOL opacification is a rare and serious complication of post operative diminution of vision with the only effective treatment being lens explantation and replacement, preferably involving lens of different material1. Following cataract surgery, it can occur anytime varying from months to years after the surgery.
Case Report: A 57-years-old male presented with chief complaints of left eye diminution of vision since 2 years which was painless and progressive. Patient had undergone both eyes cataract surgery 4 years back elsewhere. He was a known case of Ischemic Heart Disease on treatment. On examination, his best corrected visual acuity (BCVA) was 6/9 in right eye and 6/36 in left eye. On slit light examination, there was presence of white pupillary reflex in left eye giving appearance of white cataract. On dilated examination, both eyes were found to be pseudophakic with left eye having posterior chamber opacified foldable Intra Ocular Lens and posterior segment details in left eye were not visible. B Scan was done and noted to be normal.He was posted for Left eye IOL (Intra Ocular Lens) exchange with rigid IOL Implantation with surgical capsulotomy after which his vision improved.
Conclusion: Cases of opacified Intraocular lenses if visually significant require IOL exchange procedure for treatment which is associated with good visual prognosis.
Key words: Pseudophakia, Intra Ocular Lens (IOL), Opacified IOL, Acrylic, Hydrophilic, Hydrophobic.