What are the issues related to calcification of hydrophilic intraocular lenses?
Hello Doctor: My mother has high myopia (around -1500), but no other eye diseases.
Recently, she underwent cataract surgery and had a "Hannstar AcrySof Natural Aspheric Intraocular Lens" implanted.
Although her postoperative condition is currently good, we are concerned about the potential calcification of the hydrophilic lens, which may require a second surgery in the future.
Most of the information we found online regarding this issue is outdated, so we would like to know if there is still a high risk of calcification with hydrophilic intraocular lenses today.
Additionally, what does a wide range of lens power (+5.0 to +35.0D) signify? Thank you!
Subhuti, 70~79 year old female. Ask Date: 2023/09/20
Dr. Cai Wenyuan reply Ophthalmology
1.
I have not heard of it.
2.
Applicable to different situations.
Reply Date: 2023/09/20
More Info
Concerns regarding hydrophilic intraocular lens (IOL) calcification after cataract surgery are valid, especially for patients with pre-existing conditions such as high myopia. It’s important to understand the nature of hydrophilic IOLs and the potential complications that can arise post-surgery.
Firstly, hydrophilic IOLs are made from materials that absorb water, which can lead to a softer lens that is more comfortable for the patient. However, one of the concerns with these types of lenses is the potential for calcification, which can occur when calcium deposits form on the lens surface. This phenomenon has been documented in some cases, particularly with older models of hydrophilic IOLs. However, advancements in lens technology and materials have significantly reduced the incidence of calcification in newer IOLs. The specific lens your mother received, the "漢寧達愛視能非球面人工水晶體," is designed to minimize such risks, but it’s always prudent to remain vigilant and report any changes in vision to her ophthalmologist.
Regarding the concern about the likelihood of needing a second surgery due to calcification, it is essential to note that while calcification can occur, it is relatively rare with modern hydrophilic IOLs. If calcification does happen, it may lead to decreased visual acuity, and in some cases, surgical intervention may be necessary to replace the lens. Regular follow-up appointments with her eye doctor will help monitor her condition and catch any potential issues early.
As for the degree range of the IOLs, the range of +5.0 to +35.0 diopters (D) indicates the power of the lens, which is necessary to correct the patient's vision post-surgery. A higher diopter number corresponds to a stronger lens, which is typically required for patients with higher degrees of myopia or hyperopia. In your mother's case, with her high myopia of approximately 1500 degrees, the lens power would need to be adjusted accordingly to ensure optimal vision correction. This range allows for customization based on the individual patient's refractive needs, ensuring that the lens can effectively correct their vision.
In summary, while there is a historical concern regarding calcification of hydrophilic IOLs, advancements in technology have significantly mitigated this risk. Regular monitoring and communication with her ophthalmologist are crucial for managing her eye health post-surgery. If any changes in vision occur, it’s important to seek medical advice promptly. The range of lens power indicates the lens's ability to correct vision, tailored to the patient's specific needs. Always feel free to discuss any concerns with her eye care provider, as they can provide the most personalized and up-to-date information regarding her condition and treatment options.
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