Management of cataracta membranacea in a geriatric patient

Abstract

An 80-year-old woman presented to our clinic with blurred visual in her right eye. On ophthalmoscopic examination, the visual acuity was counting fingers at 50 cm in the right eye and 20/50 in the left eye. Slitlamp biomicroscopy showed fibrous adhesion of the anterior and posterior capsules and absence of lens material in the right eye. Anterior capsule wrinkling was also observed. The left eye had an anterior chamber intraocular lens (IOL) following complicated cataract surgery. Intraocular pressures were within normal limits in both eyes. Cataracta membranacea was diagnosed, and vitrectomy probe-assisted capsular opening, anterior vitrectomy, and sulcus-fixated foldable IOL implantation were performed. At the last follow-up visit, the corrected visual acuity in the right eye improved to 20/50. The aim of this report is describe the oldest patient in the literature with cataracta membranacea and to discuss its management with the aid of current knowledge.