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 | |
| State | Published - Sep 1 2019 |
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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
Epithelial downgrowth after femtosecond laser-assisted cataract surgery. / Kim, Han; Lim, Michele C; Mannis, Mark J; Kim, Esther S.
In: American Journal of Ophthalmology Case Reports, Vol. 15, 100507, 01.09.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Epithelial downgrowth after femtosecond laser-assisted cataract surgery
AU - Kim, Han
AU - Lim, Michele C
AU - Mannis, Mark J
AU - Kim, Esther S
PY - 2019/9/1
Y1 - 2019/9/1
N2 - 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.
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.
KW - Epithelial downgrowth
KW - Epithelial ingrowth
KW - Femtosecond laser-assisted cataract surgery
KW - nd:YAG capsulotomy
KW - Pupillary block
KW - Pupillary membrane
KW - Secondary angle closure glaucoma
KW - Ultrasound biomicroscopy
UR - http://www.scopus.com/inward/record.url?scp=85068472044&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85068472044&partnerID=8YFLogxK
U2 - 10.1016/j.ajoc.2019.100507
DO - 10.1016/j.ajoc.2019.100507
M3 - Article
VL - 15
JO - American Journal of Ophthalmology Case Reports
JF - American Journal of Ophthalmology Case Reports
SN - 2451-9936
M1 - 100507
ER -