PMC8077362_01
a Before implantation, the optic plate of the IOL appeared milky white. b The pupillary expansion ring allowed better visualization of the dense white opacity. c On the first post-operative day, the optic plate of the IOL appeared transparent. IOL, intraocular lens.
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F1
Immediately after removing the IOL from its package, before folding it inside the injector, it presented an altered colouring to milky white of the central optic which was initially attributed to light reflection under the microscope (shown in Fig. 1a). After careful evaluation, using a pupillary expansion ring to achieve a better visualization of the extension of the opacity the operation was terminated without removing the lens (shown in Fig. 1b). On the next day, after pharmacological mydriasis, the optic of the IOL appeared entirely transparent (shown in Fig. 1c).
Results of the in vitro experimental test. a Opacification of the IOL at the moment of the termic shock. b-g Pictures showing the resolution of the clouding with the IOL being kept at constant temperature of 36 C (half an hour (b), one hour (c), one and a half hour (d), two hours (e), two and a half hours (f), three hours (g)). IOL, intraocular lens.
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F2
The IOL was kept at constant temperature, and the cloudiness progressively reduced in dimensions, until it disappeared after 3 h (shown in Fig. 2; online suppl. video 1; for all online suppl. material, see www.karger.com/doi/10.1159/000510930).