Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report

PURPOSE: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. CASE REPORT: A 68-year-old woman with a history of uncharacterized bilateral...

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Detalles Bibliográficos
Autores principales: Lam, Jocelyn, Sifrig, Bradley, Jung, Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892323/
https://www.ncbi.nlm.nih.gov/pubmed/29643798
http://dx.doi.org/10.1159/000486925
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author Lam, Jocelyn
Sifrig, Bradley
Jung, Hoon
author_facet Lam, Jocelyn
Sifrig, Bradley
Jung, Hoon
author_sort Lam, Jocelyn
collection PubMed
description PURPOSE: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. CASE REPORT: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus. Our patient underwent 2 sessions of Nd:YAG anterior capsulotomy with limited success. Limited anterior vitrectomy was then performed without success due to densely adherent capsular tissue to the anterior surface of the IOL and additional secondary IOL dislocation. She ultimately underwent pars plana vitrectomy, removal of the capsular bag, and IOL exchange with a scleral fixated IOL. CONCLUSION: Rapid and severe anterior capsular contraction following cataract surgery is rare but appears to be associated with rod-cone dystrophy.
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spelling pubmed-58923232018-04-11 Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report Lam, Jocelyn Sifrig, Bradley Jung, Hoon Case Rep Ophthalmol Case Report PURPOSE: We report an unusual case of rapid and severe anterior capsular contraction associated with secondary intraocular lens (IOL) dislocation following cataract surgery in a patient with unspecified rod-cone dystrophy. CASE REPORT: A 68-year-old woman with a history of uncharacterized bilateral rod-cone dystrophy presented with blurry vision 1 month after cataract surgery. Best corrected visual acuity was 20/40 in the operative eye. Slit-lamp exam showed severe anterior capsular phimosis limiting view of the fundus. Our patient underwent 2 sessions of Nd:YAG anterior capsulotomy with limited success. Limited anterior vitrectomy was then performed without success due to densely adherent capsular tissue to the anterior surface of the IOL and additional secondary IOL dislocation. She ultimately underwent pars plana vitrectomy, removal of the capsular bag, and IOL exchange with a scleral fixated IOL. CONCLUSION: Rapid and severe anterior capsular contraction following cataract surgery is rare but appears to be associated with rod-cone dystrophy. S. Karger AG 2018-02-14 /pmc/articles/PMC5892323/ /pubmed/29643798 http://dx.doi.org/10.1159/000486925 Text en Copyright © 2018 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case Report
Lam, Jocelyn
Sifrig, Bradley
Jung, Hoon
Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_full Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_fullStr Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_full_unstemmed Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_short Rapid Capsular Contraction with Secondary Intraocular Lens Dislocation Associated with Unspecified Rod-Cone Dystrophy: A Case Report
title_sort rapid capsular contraction with secondary intraocular lens dislocation associated with unspecified rod-cone dystrophy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892323/
https://www.ncbi.nlm.nih.gov/pubmed/29643798
http://dx.doi.org/10.1159/000486925
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AT junghoon rapidcapsularcontractionwithsecondaryintraocularlensdislocationassociatedwithunspecifiedrodconedystrophyacasereport

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