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Russell H. Watt, MD
Marshalltown, Iowa

Arch Ophthalmol. 1991;109(11):1494.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—In the July 1991 issue of the ARCHIVES, Milauskas¹ reported 15 cases of discoloration of silicone intraocular lenses (IOLs). I have implanted silicone IOLs since July 1985 and have never seen (or at least never recognized) a case of silicone IOL discoloration. For the first 5 years, almost all the lenses that I used were manufactured by STAAR Surgical Co, Monrovia, Calif. Since July 1990, I have mainly used the AMO SI 18 series silicone IOLs.

On May 2, 1991, an uneventful implantation of a 22.0-diopter, 14.00-mm silicone IOL (AMO Model SI-18NGB, serial 9103431686) was performed on an 85-year-old woman. At the 6-week postoperative examination (before I was aware of Dr Milauskas' report), routine slit-lamp examination revealed that this lens had a brownish discoloration centrally. It resembled grade II brown nuclear sclerosis. At that time, the patient's corrected visual acuity was 20/40, and a fluorescein angiogram . . . [Full Text PDF of this Article]

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