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Poster Details

First Author: V.Lemos PORTUGAL

Co Author(s):    A. Cabugueira   B. Borges   N. Silva   A. Santos   N. Marques   J. Branco

Abstract Details

Purpose:

The aim of this study was to illustrate an unexpected and rare cataract surgery complication.

Setting:

Centro Hospitalar de Lisboa Central - Lisbon, Portugal

Methods:

77 year-old female presented with progressive visual acuity loss in the right eye (RE) for several years.History of bilateral cataract surgery several years ago.Examination revealed counting fingers close to face in RE and best corrected visual acuity(BCVA) of 9/10 in the left eye(LE).Biomicroscopy:opacification cataract-like with a posterior localization to the iris in RE and pseudophakic in LE.Biomicroscopy with iatrogenic mydriasis revealed an opacification of the entire capsular bag with intracapsular cortical remnants around a 3-piece intraocular lens(haptic in capsular bag periphery at 1 o’clock)RE.Intraocular pressure 16 mmHg RLE. RE fundus examination was not possible. RLE ultrasound showed attached retina.

Results:

Intraoperatively, there was a fibrous membrane around the intraocular lens, whereby the patient underwent anterior and posterior capsulorhexis with posterior vitrectomy probe 23G anterior and pars plana via, respectively, and pars plana vitrectomy. The final BCVA was 8/10 in RE.

Conclusions:

The modern cataract surgery is a remarkably safe procedure, regardless of which extraction technique is used, though certainly not free of complications.

Financial Disclosure:

NONE

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