A Case of Uneventful Cataract Surgery in Idiopathic True Exfoliation Patient

Gyu Ah Kim; Kyoung Yul Seo; Ji Min Ahn

doi:10.3341/jkos.2014.55.5.766

Journal List > J Korean Ophthalmol Soc > v.55(5) > 1009976

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Kim, Seo, and Ahn: A Case of Uneventful Cataract Surgery in Idiopathic True Exfoliation Patient

Case Report

J Korean Ophthalmol Soc 201;55(5):766-769.

Published online: 30 August 2014

DOI: https://doi.org/10.3341/jkos.2014.55.5.766

A Case of Uneventful Cataract Surgery in Idiopathic True Exfoliation Patient

Gyu Ah Kim, MD^1,², Kyoung Yul Seo, MD, PhD¹, Ji Min Ahn, MD^2,

¹Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea

²Siloam Eye Hospital, Seoul, Korea

Address reprint requests to Ji Min Ahn, MD, Siloam Eye Hospital, #181 Deungchon-ro, Gangseo-gu, Seoul, 157-836, Korea, Tel: 82-2-2650-0880, Fax: 82-2-2650-0895, E-mail: 24mini@naver.com

Received 13 September 2013 Revised 13 September 2013 Accepted 15 March 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

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Keywords: Capsulorrhexis, Cataract, Idiopathic true exfoliation

References

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Figure 1.

Slit lamp examination showing floating ring-shaped fibrous membrane (arrows) in the anterior chamber in the right eye (A) before dilation, (B) after dilation of the pupil, and (C) with retroillumination.

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Figure 2.

Scanning electron micrographs of the anterior lens capsule after capsulorrhexis at different magnifications. (A) At low magnification (x50). Part of the area of delamination indicated with white rectangle was re-examined at higher magnification. (B) At high magnification (x300). The arrows show the exfoliation flap.

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Figure 3.

Transmission electron micrograph of anterior lens capsule after capsulorrhexis showing the superficial layer of the anterior lens capsule (arrows) separated from the deep layer and lens epithelium (asterisk).

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