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Chronic cystoid macular edema in an eye with a capsule defect and posteriorly dislocated capsular tension ring.

Identifieur interne : 007215 ( Main/Merge ); précédent : 007214; suivant : 007216

Chronic cystoid macular edema in an eye with a capsule defect and posteriorly dislocated capsular tension ring.

Auteurs : Silvia Bopp [Allemagne] ; Klaus Lucke

Source :

RBID : pubmed:12663032

English descriptors

Abstract

A 72-year-old man presented with visual deterioration and cystoid macular edema (CME) 9 months after cataract surgery elsewhere. A slitlamp examination showed a large posterior capsule defect and a slightly decentered intraocular lens (IOL). In addition, a curved poly(methyl methacrylate) (PMMA) haptic-like structure was seen behind the IOL in the superoanterior vitreous cavity. The foreign body was entangled by vitreous fibers and moved in accordance with ocular motility. A broken PMMA haptic was suspected. During vitrectomy for removal of the suspected IOL haptic, an intact, posteriorly dislocated capsular tension ring (CTR) was found. It was cut in 2 and excised carefully via the sclerectomies. Postoperatively, the CME resolved and vision improved.

PubMed: 12663032

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pubmed:12663032

Le document en format XML

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<term>Fluorescein Angiography</term>
<term>Foreign-Body Migration (complications)</term>
<term>Humans</term>
<term>Lens Capsule, Crystalline (pathology)</term>
<term>Lenses, Intraocular</term>
<term>Macular Edema (diagnosis)</term>
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<term>Aged</term>
<term>Chronic Disease</term>
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<div type="abstract" xml:lang="en">A 72-year-old man presented with visual deterioration and cystoid macular edema (CME) 9 months after cataract surgery elsewhere. A slitlamp examination showed a large posterior capsule defect and a slightly decentered intraocular lens (IOL). In addition, a curved poly(methyl methacrylate) (PMMA) haptic-like structure was seen behind the IOL in the superoanterior vitreous cavity. The foreign body was entangled by vitreous fibers and moved in accordance with ocular motility. A broken PMMA haptic was suspected. During vitrectomy for removal of the suspected IOL haptic, an intact, posteriorly dislocated capsular tension ring (CTR) was found. It was cut in 2 and excised carefully via the sclerectomies. Postoperatively, the CME resolved and vision improved.</div>
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