Nd:YAG laser vitreolysis has been used as a noninvasive approach to treat visually significant vitreous strands and floaters. However, severe vision-threatening complications may occur. The authors describe a rare case of a 60-year-old woman who had suffered rupture of the posterior lens capsule with subsequent cataract formation 1 week post-Nd:YAG laser vitreolysis in the right eye. The authors performed phacoemulsification, pars plana vitrectomy, and intraocular lens implantation at the ciliary sulcus. At 1 month post-surgery, the patient's visual acuity had not recovered well and optical coherence tomography showed epiretinal membrane (ERM) formation. Thus, she underwent secondary pars plana vitrectomy for ERM removal.
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Ophthalmic Surg Lasers Imaging Retina.
2018;49:e214–e217.]
Purpose: We report a rare case of complete anterior dislocation of the capsular tension ring (CTR)-intraocular lens (IOL) complex spontaneously.Methods: Case report.
Results:The patient was initially treated conservatively because she was unwilling to receive operation. However, surgical treatment was eventually performed when the implant attached to her cornea and caused endothelial decompensation. From an outpatient department review several months later, it was found that her corneal edema and visual acuity improved.
Conclusion:The possibility of CTR-IOL anterior dislocation should be mentioned to the patient before mydriatic examination. Surgical options should be taken early especially once complications such as uveitis, glaucoma, macular edema and corneal endothelium decompensation happen.
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