While it is rare, some IOLs can become opacified with time. This has been reported primarily with hydrophilic acrylic materials and the solution is to perform an IOL exchange. If the optic has become calcified, it can become more rigid and therefore more difficult to cut within the anterior chamber. In this case, presented by Dr Vipul Arora from Roorkee, India, shows a uniform level of opacity of the IOL including the optic and haptics. He performs an IOL exchange by using scissors to cut the IOL into smaller pieces and then inserts a hydrophobic acrylic IOL.
Click to learn from this IOL exchange of an opacified lens:
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