Purpose: Dense, vision-obscuring calcification on the posterior aspect of silicone intraocular lenses (IOLs) is often not amenable to neodymium:yttrium-aluminum-garnet capsulotomy, and, in prior reports, has required IOL exchange. We report the successful removal of dense calcium deposition on the posterior surface of a three-piece silicone lens using pars plana vitrectomy (PPV). Materials and methods: A 23-gauge PPV was performed using the Stellaris® vitrectomy system. A light pipe was used to retroilluminate the IOL, and a dense fibrous tissue setting with a low cut-rate and high aspiration rate was able to clear the visual axis of the dystrophic calcification without damaging the IOL optic. Results: Visual acuity improved from 20/100 to 20/25. Conclusion: Small-gauge PPV may be utilized to remove dense dystrophic calcium deposits on the lens surface in lieu of IOL exchange. © 2014 Mehta et al.
CITATION STYLE
Mehta, N., Goldberg, R. A., & Shah, C. P. (2014). Treatment of dystrophic calcification on a silicone intraocular lens with pars plana vitrectomy. Clinical Ophthalmology, 8, 1291–1293. https://doi.org/10.2147/OPTH.S62108
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