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A patient presented to us with diminution of vision 2 years after cataract surgery with IOL (intraocular lens) implantation in the right eye. On examination, visual acuity was counting fingers close to face. Slit lamp examination revealed an opacified intraocular lens. IOL exchange was planned with standby anterior vitrectomy and iris claw lens in view of possibility of capsular fibrosis and risk of with-the-bag removal of IOL. IOL exchange was successfully done without damaging the posterior capsule and rigid IOL was placed in the bag. Postoperatively, best corrected visual acuity was 6/9; and the patient was satisfied with the surgical outcome. Opacification of foldable IOL may often be misdiagnosed as posterior capsular opacification. Though rare, IOL opacificationhas to be considered after careful clinical examination as a cause of poor visual acuity post cataract surgery. It may occur due to calcified deposits on the IOL. Definitive management in the form of IOL exchange can result in good postoperative outcome.

Opacified Foldable Intraocular Lens After Cataract Surgery Managed With Intraocular Lens Exchange