Epithelial downgrowth after femtosecond laser-assisted cataract surgery

Han Kim; Michele C Lim; Mark J Mannis; Esther S Kim

doi:10.1016/j.ajoc.2019.100507

Epithelial downgrowth after femtosecond laser-assisted cataract surgery

Han Kim, Michele C Lim, Mark J Mannis, Esther S Kim

Ophthalmology and Vision Science

Research output: Contribution to journal › Article

Abstract

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.

Original language	English (US)
Article number	100507
Journal	American Journal of Ophthalmology Case Reports
Volume	15
DOIs	https://doi.org/10.1016/j.ajoc.2019.100507
State	Published - Sep 1 2019

Keywords

Epithelial downgrowth
Epithelial ingrowth
Femtosecond laser-assisted cataract surgery
nd:YAG capsulotomy
Pupillary block
Pupillary membrane
Secondary angle closure glaucoma
Ultrasound biomicroscopy

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajoc.2019.100507

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Cite this

Kim, H., Lim, M. C., Mannis, M. J., & Kim, E. S. (2019). Epithelial downgrowth after femtosecond laser-assisted cataract surgery. American Journal of Ophthalmology Case Reports, 15, [100507]. https://doi.org/10.1016/j.ajoc.2019.100507

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abstract = "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.",

keywords = "Epithelial downgrowth, Epithelial ingrowth, Femtosecond laser-assisted cataract surgery, nd:YAG capsulotomy, Pupillary block, Pupillary membrane, Secondary angle closure glaucoma, Ultrasound biomicroscopy",

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