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) |
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Article number | 100507 |
Journal | American Journal of Ophthalmology Case Reports |
Volume | 15 |
DOIs | |
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