Corneal Perforation after Nd: YAG Capsulotomy: A Case Report and Literature Review

BACKGROUND: Nd: YAG capsulotomy is the treatment of choice for posterior capsular opacification after cataract surgery. We report a case of corneal perforation following Nd:YAG capsulotomy in a patient with systemic scleroderma. CASE PRESENTATION: A 69-year-old woman presented with acute onset of bl...

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Detalles Bibliográficos
Autores principales: Khreish, Maroun, Hanna, Rana, Berkovitz, Liron, Tiosano, Beatrice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2019
Materias:
Further Section
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6489091/
https://www.ncbi.nlm.nih.gov/pubmed/31097953
http://dx.doi.org/10.1159/000499178
Descripción
Sumario:BACKGROUND: Nd: YAG capsulotomy is the treatment of choice for posterior capsular opacification after cataract surgery. We report a case of corneal perforation following Nd:YAG capsulotomy in a patient with systemic scleroderma. CASE PRESENTATION: A 69-year-old woman presented with acute onset of blurred vision 2 weeks following Nd:YAG laser capsulotomy for posterior subcapsular opacification. On examination, her best-corrected visual acuity was 1/120, and bio-microscopy revealed a central full-thickness corneal laceration. Conservative treatment consisted of topical ocular antibiotics, cycloplegics, hypotensive drops and a soft therapeutic contact lens. Her final visual acuity improved to 6/18 with resolution of the corneal laceration. CONCLUSION: The possibility of corneal perforation after Nd-YAG capsulotomy in patients with systemic scleroderma and connective tissue disease should be borne in mind when treating such patients.

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