
Rapid anterior capsular phimosis after cataract surgery in a patient with chronic angle closure glaucoma
Author(s) -
PoYuan Chang,
Chang Shu-Wen
Publication year - 2015
Publication title -
taiwan journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.519
H-Index - 9
eISSN - 2211-5072
pISSN - 2211-5056
DOI - 10.1016/j.tjo.2014.10.003
Subject(s) - medicine , photophobia , ophthalmology , pupil , capsulotomy , visual acuity , cataract surgery , surgery , glaucoma , intraocular lens , neuroscience , biology
We report a case of complete occlusion of capsulorrhexis opening in a patient with chronic angle closure glaucoma with fixed-dilated pupil in the following 2 weeks after an uneventful cataract surgery. The capsulorrhexis diameter was intended to make between 5.0 mm and 5.5 mm, to prevent photophobia afterward. There was no evidence of zonular weakness on preoperative examination or during the surgery. Nd:YAG anterior capsulotomy was performed for capsular phimosis and to enlarge capsulorrhexis. The patient regained her visual acuity 3 days after laser treatment, and no pseudophakodonesis, intraocular lens decentration, and re-phimosis were noted at the 3-month follow-up.