DR. MANPREET KAUR

DR KRUTIKA BORIWAL

Abstract

The phenomenon of inclusions or microvacuoles in intraocular lenses (IOLs) are often referred to as glistenings due to their appearance when visualized e.g. in a slit-lamp exam. Glistenings are considered to be the visual effect caused by multiple microvacuoles. Glistening is characterized by fluid-filled microvacuoles ranging from 1 to 20 μm in diameter that develop within the material of IOLs. It is reported to be present in several IOL materials, although with varying density and degrees . Several clinical studies have investigated the impact of glistenings in intraocular lenses on contrast sensitivity (CS) and visual acuity (VA).While some studies do show a decrease in VA with increased severity of glistenings ,the general consensus in the literature tends to be that visual acuity is unaffected by glistenings.The authors here report a case of IOL glistenings presenting with decreased visual acuity.