Epithelial downgrowth after femtosecond laser-assisted cataract surgery

Research output: Contribution to journalArticle

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 languageEnglish (US)
Article number100507
JournalAmerican Journal of Ophthalmology Case Reports
Volume15
DOIs
StatePublished - Sep 1 2019

Fingerprint

Cataract
Lasers
Acoustic Microscopy
Angle Closure Glaucoma
Anterior Chamber
Intraocular Pressure
Glaucoma

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

Cite this

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title = "Epithelial downgrowth after femtosecond laser-assisted cataract surgery",
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",
author = "Han Kim and Lim, {Michele C} and Mannis, {Mark J} and Kim, {Esther S}",
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AU - Mannis, Mark J

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AB - 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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KW - Pupillary membrane

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