飞秒激光辅助白内障手术后的上皮内生

Epithelial downgrowth after femtosecond laser-assisted cataract surgery.

作者信息

Kim Han, Lim Michele C, Mannis Mark J, Kim Esther S

机构信息

Department of Ophthalmology & Vision Science, University of California, Davis, 4860 Y Street, Suite 2400, Sacramento, CA, 95817, USA.

出版信息

Am J Ophthalmol Case Rep. 2019 Jul 2;15:100507. doi: 10.1016/j.ajoc.2019.100507. eCollection 2019 Sep.

DOI:10.1016/j.ajoc.2019.100507

PMID:31334385

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6616539/

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.

摘要