Straylight due to intraocular lens opacification in a patient with asteroid hyalosis

Johanna M Vlasman, Thomas J T P van den Berg, Nicolaas J Reus

Research output: Contribution to journal/periodicalArticleScientificpeer-review

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Abstract

Purpose: To report a rare case of intraocular lens (IOL) calcification in the presence of asteroid hyalosis with in-vivo measurements of straylight before and after treatment.

Observations: A patient with asteroid hyalosis presented with complaints of disability glare due to calcifications on the posterior surface of the IOL. Straylight, measured with the C-Quant, was 8.2x elevated compared to normal (log(s) 2.08). Dissolution of the posterior face IOL deposits was performed with a neodymium-doped yttrium aluminum garnet (Nd:YAG) laser, resulting in a significant decrease in straylight (log(s) 1.76), congruent with the patient's subjective improvement.

Conclusions and importance: To the best of our knowledge, this is the first report describing a patient with an opacified IOL due to asteroid hyalosis with in-vivo measurements of straylight before and after treatment. It illustrates that awareness of glare complaints in patients with an opacified IOL is important, documentation with C-Quant measurements may be helpful in indicating treatment, evaluating the treatment, and following up the patient, and treatment with a Nd:YAG laser may dissolve the opacifications to a clinically satisfactory level.

Original languageEnglish
Pages (from-to)100857
JournalAmerican journal of ophthalmology case reports
Volume19
DOIs
Publication statusPublished - 2020

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