Citation:Momenaei B,Akbari MR,Tabatabaei SA,Soleimani M,Soleymanzadeh M,Fadakar K,Alshaheeb A,Khazari MM,Vaseghi Y,Cheraqpour K.Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review.Int J Ophthalmol 2022;15(7):1190-1197,doi:10.18240/ijo.2022.07.21
Etiology, pathogenesis, and management of acute intraocular lens opacification: a systematic review
Received:November 16, 2021  Revised:February 25, 2022
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DOI:10.18240/ijo.2022.07.21
Key Words:intraocular lens  phacoemulsification  acute discoloration  acute opacification  cataract
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Bita Momenaei Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Mohammad Reza Akbari Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Seyed Ali Tabatabaei Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Mohammad Soleimani Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Mahdi Soleymanzadeh Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Kaveh Fadakar Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Ahmed Alshaheeb Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
Mahtab Malekpour Khazari School of Medicine, Tehran University of Medical Sciences, Tehran 3955, Iran
Yasaman Vaseghi School of Medicine, Tehran University of Medical Sciences, Tehran 3955, Iran
Kasra Cheraqpour Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran 32, Iran
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Abstract:
      Millions of cataract surgeries with intraocular lens (IOL) implantation are performed worldwide. Although cataract surgery brings many benefits to the patients, the risk of various complications is still a concern. One of the infrequent adverse events but potentially affecting on patients’ visual acuity and contrast sensitivity is losing the transparency of IOL. IOL opacification may lead to IOL removal or exchange, which is unpleasant to both the patient and the surgeon. Several reports of acute IOL clouding are available in the literature describing various etiologies of this phenomenon, however, the exact mechanism remained unclear in some cases. Herein, we aimed to review the causes and outcomes of intraoperative and early postoperative IOL opacification.
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