A Case of Uneventful Cataract Surgery in Idiopathic True Exfoliation Patient.
10.3341/jkos.2014.55.5.766
- Author:
Gyu Ah KIM
1
;
Kyoung Yul SEO
;
Ji Min AHN
Author Information
1. Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Capsulorrhexis;
Cataract;
Idiopathic true exfoliation
- MeSH:
Aged;
Anterior Chamber;
Capsulorhexis;
Cataract*;
Humans;
Intraocular Pressure;
Lens Implantation, Intraocular;
Male;
Membranes;
Phacoemulsification
- From:Journal of the Korean Ophthalmological Society
2014;55(5):766-769
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We present a case of uneventful cataract surgery in an idiopathic true exfoliation patient with areas of capsular delamination based on scanning electron microscope and transmission electron microscope results. CASE SUMMARY: A 77-year-old male presented with gradual deterioration of vision over 1 year in duration. Slit lamp examination revealed bilateral nuclear sclerotic cataracts with ring-shaped fibrous membrane floating within the anterior chamber in the right eye. In addition, the patient was diagnosed with cataract and true exfoliation of the right eye. He underwent uneventful phacoemulsification and posterior chamber intraocular lens implantation by placing capsulorrhexis outside the delaminated capsule margin. At 6 months after cataract surgery, the patient showed favorable visual outcome with uncorrected vision of 20/20 and intraocular pressure of 18 mm Hg in the right eye.