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Subspecialties Cataract

Can We Fix It? Yes, We Can!

Recently, a series of patients who had received a particular IOL began to complain of deteriorating vision. Many underwent YAG capsulotomies thinking this was the cause of the opacity, but with no benefit. The reason? These patients had all received IOLs from batches that turned out to be prone to calcification. Fortunately, the incidence of lens calcification was low (0.08 percent), and the manufacturer asserts that the problem has now been solved; but that is of little comfort to the affected patients. Furthermore, other individuals with calcifying lenses may be identified in the future – so what can the surgeon do in these cases? Here are my thoughts on the appropriate procedure, based on performance of many lens exchanges over the last few years.

The surgical techniques I have described here are not easy, and carry some risks. But the “wait and see” strategy is also risky.

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About the Author

Sheraz Daya

Daya is Medical Director of the Centre for Sight, East Grinstead, UK. He was amongst the first in the UK to perform LASIK, and he has pioneered a number of corneal and anterior segment techniques and invented several ophthalmic instruments. Daya was voted to the 2018 Power List.

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