Middle-Segment Approach to IOL Exchange of a Calcified Silicone Optic

A patient presented with a calcified silicone optic in the setting of asteroid hyalosis, leading to decreased visual acuity. To fix this, Dr. Morgan Micheletti performed an IOL exchange with a pars plana approach to anterior vitrectomy. As silicone IOLs become more prevalent in light-adjustable IOLs, it is important to remember the association between silicone IOL calcification and asteroid hyalosis.

Financial Disclosures: Dr. Morgan Micheletti discloses financial relationships with Alcon Laboratories, Johnson & Johnson Vision (Consultant/Advisor, Lecture Fees/Speakers Bureau, Grant Support), Allergan (Consultant/Advisor, Grant Support), Avellino Labs, Bausch + Lomb, Beaver-Visitec International, Carl Zeiss Meditec, Centrecity Vision, New World Medical, Tarsus Pharmaceuticals, Visus Therapeutics (Consultant/Advisor), Diamatrix (Lecture Fees/Speakers Bureau, Patents/Royalty), Glaukos Corporation, RxSight, STAAR Surgical (Consultant/Advisor, Lecture Fees/Speakers Bureau), and Ophthalmic Neo-Innovations of Texas (Patents/Royalty, Owner of Company).