Twinkling Troubles – Understanding Deposits Over Hydrophilic IOLS

The Present case report highlights a rare but recognised complication of hydrophilic IOLS implantationcalcium deposits. Clinical observations of calcification of hydrogel IOLs were first reported in 1987. Multiple factors are involved in the pathogenesis like IOL material, host environment, packaging, surgical instruments such as forceps related impressions. After uneventful cataract surgery, a patient came to routine postoperative checkup at 1 month with no ophthalmological complaints. On slitlamp examination LE showed diffuse white powdery deposits over IOL.IOL explantation is the treatment of choice in visually significant IOL deposits. Since the vision is good, no surgical intervention was done in the present case.Calcium deposits on hydrophilic IOLs are a known complication that may not impact vision immediately. While no immediate treatment is necessary in this case, long-term monitoring is crucial