Eintrübung von Intraokularlinsen

Ramin Khoramnia

doi:10.1055/a-1250-3703

Augenheilkunde up2date, Table of Contents

Augenheilkunde up2date 2021; 11(02): 151-162
DOI: 10.1055/a-1250-3703

Katarakt und refraktive Chirurgie

Eintrübung von Intraokularlinsen

Opacification of Intraocular Lenses

Ramin Khoramnia

Abstract

All articles of this category

Zusammenfassung

Das Spektrum an Komplikationen und die Explantationsgründe bei der Verwendung von Intraokularlinsen (IOL) haben sich durch die Weiterentwicklung der Kataraktchirurgie verändert. Eintrübungen des Materials beeinflussen dabei unterschiedlich stark die optische Qualität. Im Fall einer störenden Eintrübung des Materials ist auch heute noch – trotz aller Fortschritte auf dem Gebiet der IOL-Materialien – ein Austausch der IOL die einzige Behandlungsoption.

Abstract

The spectrum of complications in the use of intraocular lenses (IOL) is different today from at the time of their introduction. Opacities in the IOL material are increasingly described in the literature as a reason for IOL explantation. This paper provides an overview of the different forms of IOL material opacities. Currently relevant forms of IOL material opacities and their effects on optical quality are summarized. The main reason for opacification in hydrophilic IOLs is calcification, whereas in hydrophobic IOLs it is mainly the formation of so-called glistenings that is reported. Most material opacities affect various optical parameters and lead to increased intraocular straylight. In case of a disturbing material opacification, the only therapeutic option is to replace the opacified IOL.

Schlüsselwörter

IOL - hydrophob - hydrophil - Kunstlinse

Key words

hydrophilic - hydrophobic - complication - IOL - straylight

Full Text

References

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