Dr. Mahesha S,
The opacification of hydrophilic acrylic IOLs is a serious complication of unknown etiology, with the only effective treatment being lens explantation and replacement, preferably with a lens of some different material.1 IOL exchange for opacified lens can be difficult and challenging. Surgery may not always go on according to the pre-operative plan and the surgeon must be ready with an alternative during surgery. We present a series of cases of IOL opacification that posed challenges in diagnosis and the various surgical management techniques.
