"Dr. Zaidman posted an e-mail about the case and began to hear from other surgeons. He collected 14 stories of delayed opacification of a hydrophilic acrylic IOL and found that many of these patients had either had or been recommended to have unnecessary procedures, including pars plana vitrectomy, YAG laser capsulotomies and neurologic workups. “One of the patients, after having a vitrectomy and an IOL exchange, developed endophthalmitis and lost the eye,” he reported. “All they needed was identification of the fact that the IOL was opaque. If their vision was bothersome, we would offer them an IOL exchange.”"