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Cataract surgical problem

Identifieur interne : 007036 ( Main/Exploration ); précédent : 007035; suivant : 007037

Cataract surgical problem

Auteurs : Samuel Masket

Source :

RBID : Pascal:03-0216676

Descripteurs français

English descriptors

Abstract

A very active 81-year-old man was referred for "horrific glare" 6 weeks after cataract surgery in the left eye. His history reveals that 4 months earlier, he had uneventful, temporally oriented phacoemulsification with placement of a plate-haptic silicone intraocular lens (IOL) in the right eye. However, the left eye, operated on in a similar fashion more recently, sustained unintended but significant damage to the inferotemporal iris (Figures 1 and 2). The patient reports great difficulty with night driving, a task necessary for his work. He refused a custom contact lens. The examination reveals a best corrected visual acuity of 20/25+ in both eyes with a modest myopic error. In both eyes, there is a healed temporal clear corneal incision and a well-centered plate-haptic silicone IOL with an intact posterior capsule. The involved left eye demonstrates a small anterior capsulorhexis, and there is modest peripheral capsule fibrosis. Posterior segment examination is unremarkable in both eyes. How would you approach this problem?


Affiliations:


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Le document en format XML

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<title level="j" type="main">Journal of cataract and refractive surgery</title>
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<term>Case study</term>
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<term>Human</term>
<term>Iatrogenic</term>
<term>Iris(eye)</term>
<term>Postoperative</term>
<term>Substance loss</term>
<term>Surgery</term>
<term>Treatment</term>
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<term>Cataracte</term>
<term>Chirurgie</term>
<term>Traitement</term>
<term>Homme</term>
<term>Etude cas</term>
<term>Complication</term>
<term>Postopératoire</term>
<term>Iatrogène</term>
<term>Perte substance</term>
<term>Iris(oeil)</term>
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<div type="abstract" xml:lang="en">A very active 81-year-old man was referred for "horrific glare" 6 weeks after cataract surgery in the left eye. His history reveals that 4 months earlier, he had uneventful, temporally oriented phacoemulsification with placement of a plate-haptic silicone intraocular lens (IOL) in the right eye. However, the left eye, operated on in a similar fashion more recently, sustained unintended but significant damage to the inferotemporal iris (Figures 1 and 2). The patient reports great difficulty with night driving, a task necessary for his work. He refused a custom contact lens. The examination reveals a best corrected visual acuity of 20/25
<sup>+</sup>
in both eyes with a modest myopic error. In both eyes, there is a healed temporal clear corneal incision and a well-centered plate-haptic silicone IOL with an intact posterior capsule. The involved left eye demonstrates a small anterior capsulorhexis, and there is modest peripheral capsule fibrosis. Posterior segment examination is unremarkable in both eyes. How would you approach this problem?</div>
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{{Explor lien
   |wiki=    Ticri/CIDE
   |area=    HapticV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:03-0216676
   |texte=   Cataract surgical problem
}}

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