Ozulken Kemal, Gokce Sabite Emine, Tekin Kemal
TOBB ETU School of Medicine, Department of Ophthalmology, Ankara, Turkey.
Dr. Abdurrahman Yurtaslan Training and Research Hospital, Department of Ophthalmology, Ankara, Turkey.
Am J Ophthalmol Case Rep. 2022 Jan 20;25:101258. doi: 10.1016/j.ajoc.2022.101258. eCollection 2022 Mar.
In this paper, we present a case of acute clouding of a trifocal intraocular lens (IOL) that resolved spontaneously by the day after surgery.
A 68-year-old woman with a nuclear cataract in the right eye was scheduled for cataract surgery with +21.00 diopter trifocal IOL (AT LISA tri 839MP, Carl Zeiss Meditec AG, Germany) implantation. Phacoemulsification was uneventful until the implantation of the IOL. Although the IOL was initially transparent, we observed acute clouding of the IOL optic immediately upon implantation into the eye, and the IOL remained cloudy at the end of the surgery. On the day after surgery, we observed that the clouding was completely resolved.
We think that the sudden temperature change of the IOL upon implantation into the anterior chamber may have caused acute clouding. If a similar situation is encountered, clinicians should avoid explantation or replacement of the Zeiss AT LISA trifocal IOL, as the clouding resolves spontaneously.
在本文中，我们报告一例三焦点人工晶状体（IOL）急性混浊的病例，该混浊在术后次日自发消退。
一名68岁右眼患有核性白内障的女性计划接受白内障手术并植入+21.00屈光度的三焦点IOL（AT LISA tri 839MP，德国卡尔蔡司医疗技术公司）。在植入IOL之前，超声乳化手术过程顺利。尽管IOL最初是透明的，但在将其植入眼内后，我们立即观察到IOL光学部急性混浊，并且在手术结束时IOL仍为混浊状态。术后次日，我们观察到混浊已完全消退。
我们认为，IOL植入前房时温度的突然变化可能导致了急性混浊。如果遇到类似情况，临床医生应避免取出或更换蔡司AT LISA三焦点IOL，因为混浊会自发消退。
