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—Dr Milauskas has described his experience with 15 silicone IOL implantations of two lens materials and styles from two separate manufacturers. I have clinical experience with several hundred patients in whom silicone IOLs from three manufacturers have been implanted (STAAR Surgical lenses, IOLAB LI-30U, and the Allergan Medical Optics [Irvine, Calif] SI18, SI20, and SI22 NB series of silicone lenses). I have reviewed the medical records of my patients, all of whom were exposed to the high-intensity UV sun exposure of Southern Arizona, and none was found to have discolored IOLs. I have spoken with the manufacturing representatives of both Allergan Medical Optics and IOLAB; neither one has received an official report of discolored silicone IOLs after up to 5 years of postoperative experience.Several investigators in the IOLAB LI-3OU original core study have reviewed the photographs supplied by Dr Milauskas and none has been able to detect
Kershner RM. Silicone Intraocular Lens Implant Discoloration in Humans-Reply. Arch Ophthalmol. 1991;109(7):913–914. doi:10.1001/archopht.1991.01080070023007
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