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Hydrophilic acrylic intraocular lens (Akreos AO MI60) optic opacification in patients with diabetic retinopathy
  1. Dong Ho Park,
  2. Jae Pil Shin,
  3. Hong Kyun Kim,
  4. Jong Ho Kim,
  5. Si Yeol Kim
  1. Department of Ophthalmology, School of Medicine, Kyungpook National University, Daegu, South Korea
  1. Correspondence to Dr Si Yeol Kim, Department of Ophthalmology, School of Medicine Kyungpook National University, #50 Samduk-dong-2-ga, Chung-gu, Daegu, 700-721, South Korea; kimsy{at}knu.ac.kr

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Recently, the approval of the hydrophilic acrylic intraocular lens (IOL; Akreos AO MI60; Bausch & Lomb, Rochester, New York) made microcoaxial surgery possible through a sub-2 mm incision. Although hydrophilic acrylic IOLs have proven to be highly biocompatible,1 several studies reported a late opacification of IOLs due to calcium deposits.2 3

The authors report five patients with calcium deposits on the anterior surface of Akreos AO MI60 IOLs which occurred after phacoemulsification and 23-gauge transconjunctival sutureless vitrectomy (TSV) for diabetic vitreous haemorrhage (VH). To our knowledge, opacification for this IOL design has not been reported before.

One of the authors (SYK) implanted the Akreos AO MI60 IOLs in 208 cases between November 2008 and December 2009. Eighty-nine cases had phacoemulsification and 23-gauge TSV for diabetic VH. The authors observed five patients (2.4%) with IOL opacification from the 208 cases. Clinical characteristics of the five patients who had IOL opacification are shown in table 1 …

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