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Epithelial downgrowth after femtosecond laser-assisted cataract surgery

PURPOSE: To present the case of a 72-year-old female with epithelial downgrowth after femtosecond laser-assisted cataract surgery. OBSERVATIONS: The patient previously underwent YAG vitreolysis after uncomplicated femtosecond laser-assisted cataract surgery and presented 1 year later with epithelial...

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Detalles Bibliográficos
Autores principales: Kim, Han, Lim, Michele C., Mannis, Mark J., Kim, Esther S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616539/
https://www.ncbi.nlm.nih.gov/pubmed/31334385
http://dx.doi.org/10.1016/j.ajoc.2019.100507
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author Kim, Han
Lim, Michele C.
Mannis, Mark J.
Kim, Esther S.
author_facet Kim, Han
Lim, Michele C.
Mannis, Mark J.
Kim, Esther S.
author_sort Kim, Han
collection PubMed
description PURPOSE: To present the case of a 72-year-old female with epithelial downgrowth after femtosecond laser-assisted cataract surgery. OBSERVATIONS: The patient previously underwent YAG vitreolysis after uncomplicated femtosecond laser-assisted cataract surgery and presented 1 year later with epithelial downgrowth causing complete pupillary block and severe angle closure glaucoma. Subsequent management with nd:YAG peripheral iridotomies failed rapidly leading to a confusing presentation with a flat anterior chamber and high intraocular pressure ultimately requiring surgical management. CONCLUSIONS: We describe the occurrence of epithelial downgrowth after femtosecond laser-assisted cataract surgery and illustrate the utility of ultrasound biomicroscopy to differentiate between severe pupillary block and malignant glaucoma.
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spelling pubmed-66165392019-07-22 Epithelial downgrowth after femtosecond laser-assisted cataract surgery Kim, Han Lim, Michele C. Mannis, Mark J. Kim, Esther S. Am J Ophthalmol Case Rep Case Report PURPOSE: To present the case of a 72-year-old female with epithelial downgrowth after femtosecond laser-assisted cataract surgery. OBSERVATIONS: The patient previously underwent YAG vitreolysis after uncomplicated femtosecond laser-assisted cataract surgery and presented 1 year later with epithelial downgrowth causing complete pupillary block and severe angle closure glaucoma. Subsequent management with nd:YAG peripheral iridotomies failed rapidly leading to a confusing presentation with a flat anterior chamber and high intraocular pressure ultimately requiring surgical management. CONCLUSIONS: We describe the occurrence of epithelial downgrowth after femtosecond laser-assisted cataract surgery and illustrate the utility of ultrasound biomicroscopy to differentiate between severe pupillary block and malignant glaucoma. Elsevier 2019-07-02 /pmc/articles/PMC6616539/ /pubmed/31334385 http://dx.doi.org/10.1016/j.ajoc.2019.100507 Text en © 2019 Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kim, Han
Lim, Michele C.
Mannis, Mark J.
Kim, Esther S.
Epithelial downgrowth after femtosecond laser-assisted cataract surgery
title Epithelial downgrowth after femtosecond laser-assisted cataract surgery
title_full Epithelial downgrowth after femtosecond laser-assisted cataract surgery
title_fullStr Epithelial downgrowth after femtosecond laser-assisted cataract surgery
title_full_unstemmed Epithelial downgrowth after femtosecond laser-assisted cataract surgery
title_short Epithelial downgrowth after femtosecond laser-assisted cataract surgery
title_sort epithelial downgrowth after femtosecond laser-assisted cataract surgery
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6616539/
https://www.ncbi.nlm.nih.gov/pubmed/31334385
http://dx.doi.org/10.1016/j.ajoc.2019.100507
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