Case of asteroid hyalosis that developed severely reduced vision after cataract surgery
Abstract Background To report our findings in a patient with asteroid hyalosis (AH) who had a severe reduction of his visual acuity following cataract surgery. The vision was improved by vitreous surgery. Case presentation The patient was an 81-year-old man. Following cataract surgery on his left ey...
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| Format: | Article |
| Language: | English |
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BMC
2017-05-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-017-0467-6 |
| _version_ | 1819144578413887488 |
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| author | Ryosuke Ochi Bumpei Sato Seita Morishita Yukihiro Imagawa Masashi Mimura Masanori Fukumoto Takaki Sato Takatoshi Kobayashi Teruyo Kida Tsunehiko Ikeda |
| author_facet | Ryosuke Ochi Bumpei Sato Seita Morishita Yukihiro Imagawa Masashi Mimura Masanori Fukumoto Takaki Sato Takatoshi Kobayashi Teruyo Kida Tsunehiko Ikeda |
| author_sort | Ryosuke Ochi |
| collection | DOAJ |
| description | Abstract Background To report our findings in a patient with asteroid hyalosis (AH) who had a severe reduction of his visual acuity following cataract surgery. The vision was improved by vitreous surgery. Case presentation The patient was an 81-year-old man. Following cataract surgery on his left eye, his decimal best-corrected visual acuity (BCVA) was markedly reduced from 0.2 to 0.02. A large number of asteroid bodies (ABs) was observed to be concentrated on the posterior surface of the implanted intraocular lens. Ultrasound B-mode images showed turbidity of the vitreous that was denser in the anterior vitreous where the ABs were concentrated. During vitrectomy, the ABs were observed to be concentrated in the anterior vitreous cavity, and a complete posterior vitreous detachment (PVD) was present. After vitrectomy successfully removed the ABs, the visibility of the fundus improved and the BCVA recovered to 1.0. Conclusion We suggest that the visual impairment after the cataract surgery was due to the concentrated ABs in the anterior vitreous cavity. The clustering of the ABs in the anterior vitreous cavity was most likely caused by the PVD that developed during the cataract surgery. |
| first_indexed | 2024-12-22T12:44:22Z |
| format | Article |
| id | doaj.art-db056c8ae191404dad22aee5cc606d90 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-22T12:44:22Z |
| publishDate | 2017-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-db056c8ae191404dad22aee5cc606d902022-12-21T18:25:22ZengBMCBMC Ophthalmology1471-24152017-05-011711410.1186/s12886-017-0467-6Case of asteroid hyalosis that developed severely reduced vision after cataract surgeryRyosuke Ochi0Bumpei Sato1Seita Morishita2Yukihiro Imagawa3Masashi Mimura4Masanori Fukumoto5Takaki Sato6Takatoshi Kobayashi7Teruyo Kida8Tsunehiko Ikeda9Department of Ophthalmology, Osaka Kaisei HospitalDepartment of Ophthalmology, Osaka Kaisei HospitalDepartment of Ophthalmology, Osaka Kaisei HospitalDepartment of Ophthalmology, Osaka Kaisei HospitalDepartment of Ophthalmology, Osaka Medical CollegeDepartment of Ophthalmology, Osaka Medical CollegeDepartment of Ophthalmology, Osaka Medical CollegeDepartment of Ophthalmology, Osaka Medical CollegeDepartment of Ophthalmology, Osaka Medical CollegeDepartment of Ophthalmology, Osaka Medical CollegeAbstract Background To report our findings in a patient with asteroid hyalosis (AH) who had a severe reduction of his visual acuity following cataract surgery. The vision was improved by vitreous surgery. Case presentation The patient was an 81-year-old man. Following cataract surgery on his left eye, his decimal best-corrected visual acuity (BCVA) was markedly reduced from 0.2 to 0.02. A large number of asteroid bodies (ABs) was observed to be concentrated on the posterior surface of the implanted intraocular lens. Ultrasound B-mode images showed turbidity of the vitreous that was denser in the anterior vitreous where the ABs were concentrated. During vitrectomy, the ABs were observed to be concentrated in the anterior vitreous cavity, and a complete posterior vitreous detachment (PVD) was present. After vitrectomy successfully removed the ABs, the visibility of the fundus improved and the BCVA recovered to 1.0. Conclusion We suggest that the visual impairment after the cataract surgery was due to the concentrated ABs in the anterior vitreous cavity. The clustering of the ABs in the anterior vitreous cavity was most likely caused by the PVD that developed during the cataract surgery.http://link.springer.com/article/10.1186/s12886-017-0467-6Asteroid hyalosisCataract surgeryVitreous surgeryPosterior vitreous detachment |
| spellingShingle | Ryosuke Ochi Bumpei Sato Seita Morishita Yukihiro Imagawa Masashi Mimura Masanori Fukumoto Takaki Sato Takatoshi Kobayashi Teruyo Kida Tsunehiko Ikeda Case of asteroid hyalosis that developed severely reduced vision after cataract surgery BMC Ophthalmology Asteroid hyalosis Cataract surgery Vitreous surgery Posterior vitreous detachment |
| title | Case of asteroid hyalosis that developed severely reduced vision after cataract surgery |
| title_full | Case of asteroid hyalosis that developed severely reduced vision after cataract surgery |
| title_fullStr | Case of asteroid hyalosis that developed severely reduced vision after cataract surgery |
| title_full_unstemmed | Case of asteroid hyalosis that developed severely reduced vision after cataract surgery |
| title_short | Case of asteroid hyalosis that developed severely reduced vision after cataract surgery |
| title_sort | case of asteroid hyalosis that developed severely reduced vision after cataract surgery |
| topic | Asteroid hyalosis Cataract surgery Vitreous surgery Posterior vitreous detachment |
| url | http://link.springer.com/article/10.1186/s12886-017-0467-6 |
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