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Abstract
We report localized opacification of a sclera-fixated Akreos® hydrophilic acrylic intraocular lens after successful repair of rhegmatogenous retinal detachment with silicone oil tamponade in a nondiabetic patient. No intraoperative lens opacification during air–fluid exchange or lens dislocation was encountered. Granular opacities within the optic were noted at 5 months after surgery, and did not relent to scrubbing with a vitrector during oil removal. Akreos lens opacification under silicone oil is not well documented in the literature. Surgeons must be aware of this potential complication, which is known to occur with various types of hydrophilic acrylic lenses after exposure to air or gas.
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1 Ophthalmology Department, Bruce W. Carter Miami Veterans Affairs Medical Center, Miami, FL, USA; Bascom Palmer Eye Institute, Department of Ophthalmology of the University of Miami Miller School of Medicine, Miami, FL, USA
2 Bascom Palmer Eye Institute, Department of Ophthalmology of the University of Miami Miller School of Medicine, Miami, FL, USA





