Postoperative occlusion of visual axis with fibrous membrane in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome: a case report

BMC Ophthalmology

Case Report

Moosang Kim¹  Seung-Jun Lee¹  Sang Beom Han¹  Eung Suk Kim²  Joon Young Hyon³  Hee Kyung Yang³ 

[1] Department of Ophthalmology, Kangwon National University Hospital, Kangwon National University Graduate School of Medicine, 156 Baengnyeong-ro, 200-722, Chuncheon, Kangwon, South Korea;Department of Ophthalmology, Kyung Hee University Hospital, Kyung Hee University, Seoul, South Korea;Department of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, South Korea;

关键词: Anterior capsular phimosis;    Anterior segment optical coherence tomography;    Case report;    Fibrous membrane;    Nd:YAG Laser;    Pseudoexfoliation syndrome;   

DOI  :  10.1186/s12886-016-0394-y

 received in 2016-07-08, accepted in 2016-11-25,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundTo report a case of postoperative fibrous membrane formation occluding the visual axis in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome.Case presentationA 79-year-old Asian woman with pseudoexfoliation syndrome underwent uneventful phacoemulsification and implantation of one-piece hydrophilic acrylic square-edged intraocular lens (Cristalens) in the right eye. Two months later, she had blurred vision in the right eye with the best-corrected visual acuity (BCVA) of 20/40. Formation of fibrous membrane occluding the capsulorhexis opening with contraction of anterior capsule was observed, which was confirmed by anterior segment optical coherence tomography. Clear visual axis was achieved by lysis of the membrane using Nd:YAG laser. The BCVA improved to 20/20.ConclusionsOcclusion of the visual axis with fibrous membrane can develop in the presence of anterior capsular phimosis in a patient with pseudoexfoliation syndrome.

【 授权许可】

CC BY   
© The Author(s). 2016