Objective: To investigate the cause of severe central opacification in 41 f
oldable acrylic intraocular lenses (IOLs) requiring explantation. Another I
OL was opacified in the original sealed vial.
Design: Case series and laboratory analysis.
Testing: Light microscopy, high performance liquid chromatography, sodium d
odecyl sulfate polyacoylamide gel electrophoresis, spectrometric analysis,
and autoclaving.
Results: Neither fatty acids nor proteins could be identified within the IO
Ls. Spectrometric analysis yielded absorption peaks in the ultraviolet spec
tral range.
Conclusions: The spectroscopic findings indicate premature aging of the ult
raviolet blocking agent. The source of the opacification is a change in the
IOL material itself. Ophthalmology 2001;108:1999-2004(C) 2001 by the Ameri
can Academy of Ophthalmology.