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 Table of Contents  
OPHTHALMIC IMAGE
Year : 2022  |  Volume : 60  |  Issue : 4  |  Page : 328

Seeing through the mist: An unusual case of tertiary cataract


Department of General Ophthalmology, Aravind Eye Hospital, No. 1, Anna Nagar, Madurai, Tamil Nadu, India

Date of Submission19-Apr-2022
Date of Decision20-Aug-2022
Date of Acceptance21-Aug-2022
Date of Web Publication19-Dec-2022

Correspondence Address:
Harinikrishna Balakrishnan
Department of General Ophthalmology, Aravind Eye Hospital, No. 1, Anna Nagar, Madurai - 625 020, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/tjosr.tjosr_43_22

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How to cite this article:
Balakrishnan H, Muthukrishnan GR, Moorthy P. Seeing through the mist: An unusual case of tertiary cataract. TNOA J Ophthalmic Sci Res 2022;60:328

How to cite this URL:
Balakrishnan H, Muthukrishnan GR, Moorthy P. Seeing through the mist: An unusual case of tertiary cataract. TNOA J Ophthalmic Sci Res [serial online] 2022 [cited 2023 Feb 8];60:328. Available from: https://www.tnoajosr.com/text.asp?2022/60/4/332/364247



A 56-year-old male, 15 years post cataract surgery in both eyes, presented with complaints of glare in the left eye for six months. Visual acuity was 6/6 in RE and 6/6p in LE. Slit-lamp examination revealed whitish discolouration and misty appearance of the posterior chamber intraocular lens suggestive of opacification of Posterior chamber intraocular lens (PCIOL) in the LE [Figure 1]a and [Figure 1]b. Carl Zeiss IOL master 700 showed no potential space between the posterior capsule and Intraocular lens (IOL), ruling out capsular bag distension syndrome [Figure 1c]. Since the visual acuity was good, no surgical intervention was performed and the patient was advised for a regular follow-up. Opacification of IOL, also known as tertiary cataract, is a rare, late post-operative complication following cataract surgery. Opacification of IOLs can be associated with many factors, including IOL production processes, surgical techniques and metabolic conditions.[1] Careful slit lamp examination is mandatory to differentiate IOL opacification from posterior capsule opacification and capsular bag distension syndrome due to the difference in line of management of the conditions.[2] IOL exchange surgery is the only solution in cases of visually significant opacification of IOL.[3]
Figure 1: (1a and 1b) – Anterior segment photograph showing opacification of the PCIOL (1c) – Intraocular lens in normal position without any potential space between PCIOL and posterior capsule

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Werner L. Causes of intraocular lens opacification or discoloration. J Cataract Refract Surg 2007;33:713-26.  Back to cited text no. 1
    
2.
Gupta G, Goyal P, Bal A, Jain AK, Malhotra C. Pearly white intraocular lens opacification-”Tertiary cataract”. Indian J Ophthalmol 2020;68:188-9.  Back to cited text no. 2
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3.
Carlson AN, Stewart WC, Tso PC. Intraocular lens complications requiring removal or exchange. Surv Ophthalmol 1998;42:417-40.  Back to cited text no. 3
    


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