Multiple Pit Defects of Unknown Etiology in a Foldable Hydrophobic Intraocular Lens

A 56‑year‑old female patient presented to our clinic for a routine follow‑up appointment after penetrating keratoplasty and cataract surgery (triple procedure) for a deep corneal scar due to previous herpetic keratitis. The procedure was performed 9 months before the recent presentation. Her unaided visual acuity was 2/10 OD and 10/10 OS. On slit‑lamp examination, the corneal graft OD appeared clear, and the anterior segment OS was healthy with bilateral pseudophakia. However, we unexpectedly observed that there were multiple pits on the anterior surface of the intraocular lens (IOL) OD [Figure 1], which was a hydrophilic, one‑piece, in‑the‑bag IOL. The patient did not undergo any YAG capsulotomy or vitrectomy with silicone oil tamponade. She had not experienced any intraocular infection or corneal graft rejection episodes since undergoing ocular surgery.