Long-Term Outcome of Cataract Surgery in Eyes with Pseudoexfoliation Syndrome Associated with Weak Zonules: A Case Report
| Autor: | Juris Vanags, Guna Laganovska |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
genetic structures medicine.medical_treatment Pseudoexfoliation syndrome Case Report Intraocular lens 01 natural sciences late intraocular lens dislocation 03 medical and health sciences 0302 clinical medicine Endophthalmitis lcsh:Ophthalmology Ophthalmology medicine Iridodonesis 0101 mathematics business.industry pseudoexfoliation syndrome weak zonules 010102 general mathematics Phacoemulsification Cataract surgery medicine.disease eye diseases Phacodonesis lcsh:RE1-994 030221 ophthalmology & optometry Capsulotomy sense organs business |
| Zdroj: | Case Reports in Ophthalmology, Vol 11, Iss 1, Pp 54-59 (2020) Case Reports in Ophthalmology |
| ISSN: | 1663-2699 |
| Popis: | A cataract surgery in both eyes was scheduled for an 81-year-old female patient. However, ophthalmic examination revealed marked iridodonesis, phacodonesis and pseudoexfoliative material on the surface of the lens in both eyes indicating weak zonules caused by pseudoexfoliation syndrome, which was more pronounced in the left eye. Cataract surgery was performed initially in the left eye by phacoemulsification. Additionally, iris hooks and capsular tension ring (CTR) were used to stabilize the capsular bag, and the haptic of the intraocular lens (IOL) was sutured to the iris at the end of the surgery. The same procedure except haptic suturing was performed in the right eye after 6 months. The left eye remained stable, whereas the right eye developed considerable anterior capsular contraction 2 months postoperatively. Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser capsulotomy was performed to treat the condition. Moreover, 3 years after the initial surgery, late IOL-CTR-capsular-bag complex dislocation developed in the right eye, and reposition surgery was performed. Three days after IOL-CTR-capsular-bag complex reposition surgery, endophthalmitis developed; the eye responded well to 1 mg intravitreal vancomycin treatment. IOL in the right eye remained stable 3 years postoperatively. |
| Databáze: | OpenAIRE |
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