November consultation #2

This case represents a relative emergency because rubbing of the nasal haptic in the iridocorneal angle could lead to a severe endothelial loss. Preoperative workup should include an endothelial cell count (ECC) with specular microscopy, and the patient should be asked about the model and the power of the IOL placed in his right eye. If these data are not available, a pseudophakic biometry should be performed, taking into account the previous refractive corneal surgery. Considering the fact that the patient has a PMMA IOL, it can be supposed that this IOL was placed in the ciliary sulcus as a consequence of a temporal posterior capsule rupture (PCR) that occurred during cataract removal in this vitrectomized IOL.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Cataract Source Type: research