Fibrotic cataract as a sign of posterior capsule violation post vitrectomy
Purpose: To report fibrotic cataract as a sign of posterior capsule violation post vitrectomy. Observations: A 16 year old female presented to our retina clinic after multiple prior vitrectomies at an outside hospital for traumatic retinal detachment. On presentation, it was noted that she still had...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-09-01
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| Series: | American Journal of Ophthalmology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199362100164X |
| _version_ | 1819119180260048896 |
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| author | Eric R. Williams Jesse M. Smith Michael Huvard Cristos Ifantides |
| author_facet | Eric R. Williams Jesse M. Smith Michael Huvard Cristos Ifantides |
| author_sort | Eric R. Williams |
| collection | DOAJ |
| description | Purpose: To report fibrotic cataract as a sign of posterior capsule violation post vitrectomy. Observations: A 16 year old female presented to our retina clinic after multiple prior vitrectomies at an outside hospital for traumatic retinal detachment. On presentation, it was noted that she still had a silicone oil inside the eye, and a dense, fibrotic cataract limiting the posterior pole view. The decision was made to pursue cataract phacoemulsification plus silicone oil removal. We utilized the Zepto capsulotomy system given the white cataract. After gentle bimanual irrigation and aspiration of the cataract, it was discovered there were two small, round, posterior capsule defects with fibrosis around these holes that extended anteriorly, involving the capsular fornix and anterior capsule. This was confirmed intraoperatively on heads-up OCT. A three-piece intraocular lens was placed into the capsular bag, but given the contracted capsular fornix, the IOL was decentered inferonasally, so it was repositioned in the sulcus with good centration. Conclusions: It is known that pars plana vitrectomy leads to accelerated cataract formation postoperatively. This case report is the first to our knowledge that describes a fibrotic cataract as a sign of posterior capsular violation. Importance: We demonstrate that presence of fibrotic cataract post vitrectomy should raise suspicion for capsular violation and should prompt further discussion with the patient regarding appropriate surgical planning and expectations. |
| first_indexed | 2024-12-22T06:00:40Z |
| format | Article |
| id | doaj.art-ebbd5beb5ed348c1be127a4c572115d9 |
| institution | Directory Open Access Journal |
| issn | 2451-9936 |
| language | English |
| last_indexed | 2024-12-22T06:00:40Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Journal of Ophthalmology Case Reports |
| spelling | doaj.art-ebbd5beb5ed348c1be127a4c572115d92022-12-21T18:36:35ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362021-09-0123101155Fibrotic cataract as a sign of posterior capsule violation post vitrectomyEric R. Williams0Jesse M. Smith1Michael Huvard2Cristos Ifantides3Sue Anschutz-Rodgers Eye Center, Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, Mail Stop F731, Aurora, CO, 80045, USASue Anschutz-Rodgers Eye Center, Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, Mail Stop F731, Aurora, CO, 80045, USASue Anschutz-Rodgers Eye Center, Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, Mail Stop F731, Aurora, CO, 80045, USASue Anschutz-Rodgers Eye Center, Department of Ophthalmology, University of Colorado School of Medicine, 1675 Aurora Court, Mail Stop F731, Aurora, CO, 80045, USA; Department of Surgery, Denver Health Medical Center, Denver, CO, USA; Corresponding author.Sue Anschutz-Rodgers Eye Center at The University of Colorado School of Medicine, 1675 Aurora Court, Mail Stop F731, Aurora, CO, 80045, USA.Purpose: To report fibrotic cataract as a sign of posterior capsule violation post vitrectomy. Observations: A 16 year old female presented to our retina clinic after multiple prior vitrectomies at an outside hospital for traumatic retinal detachment. On presentation, it was noted that she still had a silicone oil inside the eye, and a dense, fibrotic cataract limiting the posterior pole view. The decision was made to pursue cataract phacoemulsification plus silicone oil removal. We utilized the Zepto capsulotomy system given the white cataract. After gentle bimanual irrigation and aspiration of the cataract, it was discovered there were two small, round, posterior capsule defects with fibrosis around these holes that extended anteriorly, involving the capsular fornix and anterior capsule. This was confirmed intraoperatively on heads-up OCT. A three-piece intraocular lens was placed into the capsular bag, but given the contracted capsular fornix, the IOL was decentered inferonasally, so it was repositioned in the sulcus with good centration. Conclusions: It is known that pars plana vitrectomy leads to accelerated cataract formation postoperatively. This case report is the first to our knowledge that describes a fibrotic cataract as a sign of posterior capsular violation. Importance: We demonstrate that presence of fibrotic cataract post vitrectomy should raise suspicion for capsular violation and should prompt further discussion with the patient regarding appropriate surgical planning and expectations.http://www.sciencedirect.com/science/article/pii/S245199362100164XCataractVitrectomyPosterior capsule rupture |
| spellingShingle | Eric R. Williams Jesse M. Smith Michael Huvard Cristos Ifantides Fibrotic cataract as a sign of posterior capsule violation post vitrectomy American Journal of Ophthalmology Case Reports Cataract Vitrectomy Posterior capsule rupture |
| title | Fibrotic cataract as a sign of posterior capsule violation post vitrectomy |
| title_full | Fibrotic cataract as a sign of posterior capsule violation post vitrectomy |
| title_fullStr | Fibrotic cataract as a sign of posterior capsule violation post vitrectomy |
| title_full_unstemmed | Fibrotic cataract as a sign of posterior capsule violation post vitrectomy |
| title_short | Fibrotic cataract as a sign of posterior capsule violation post vitrectomy |
| title_sort | fibrotic cataract as a sign of posterior capsule violation post vitrectomy |
| topic | Cataract Vitrectomy Posterior capsule rupture |
| url | http://www.sciencedirect.com/science/article/pii/S245199362100164X |
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