Pars plana vitrectomy for dystrophic calcification of a silicone intraocular lens in association with asteroid hyalosis.

UNLABELLED: We present a case in which a pars plana vitrectomy (PPV) was performed to halt the progressive dystrophic calcification of an intraocular lens (IOL) and the need for an IOL exchange. With limited follow-up, the patient's visual complaints have resolved, the dystrophic calcification of the IOL has stabilized, and good visual acuity has been retained. To our knowledge, this is the first report of a patient with progressive dystrophic calcification of silicone IOLs in association with asteroid hyalosis treated primarily with a PPV. In certain cases, PPV may be considered in patients with dystrophic calcification in association with asteroid hyalosis and may prevent the need for a late IOL exchange. FINANCIAL DISCLOSURE: Neither author has a financial or proprietary interest in any material or method mentioned.