Cataract surgical problem
Identifieur interne : 000330 ( PascalFrancis/Curation ); précédent : 000329; suivant : 000331Cataract surgical problem
Auteurs : Samuel MasketSource :
- Journal of cataract and refractive surgery [ 0886-3350 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
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?
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Samuel Masket<affiliation><wicri:noCountry>no AF</wicri:noCountry>
</affiliation>
Le document en format XML
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<front><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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