Dr.RINKY AGARWAL

Dr. NAMRATA SHARMA

Abstract

Intraocular lens (IOL) opacification is a rare phenomenon noted with hydrophilic acrylic IOLs. We report a case of advanced IOL opacification appreciated on anterior segment optical coherence tomography changes (ASOCT) as a shrunken biconcave optic retracted away from the posterior capsule (PC), unlike the other eye which had a clear biconvex IOL of similar material abutting the PC. After IOL exchange, the affected eye was noted to have more folds and Elsching pearls on the posterior capsule when compared to the other eye. Our case points towards rare IOL changes seen in advanced cases of opacification, their association with posterior capsular changes, and the aid of ASOCT as a non-invasive in diagnosing them correctly.