Journal List > J Korean Ophthalmol Soc > v.58(6) > 1010796

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Song, Park, and Yoon: One Step Operation of the Persistent Pupillary Membrane Removal and Cataract Operation: A Case Report
Case Report

Journal of the Korean Ophthalmological Society 2017; 58(6): 731-735.

Published online: 16 June 2017

DOI: https://doi.org/10.3341/jkos.2017.58.6.731

One Step Operation of the Persistent Pupillary Membrane Removal and Cataract Operation: A Case Report

Won Seok Song, MD, Sung Pyo Park, MD, Sam Young Yoon, MD

Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Address reprint requests to Sam Young Yoon, MD. Department of Ophthalmology, Hallym University Kangdong Sacred Heart Hospital, #150 Seongan-ro, Gangdong-gu, Seoul 05355, Korea. Tel: 82-2-2224-2274, Fax: 82-2-470-2088, sonicnet@hanmail.net

Received 9 February 2017       Revised 22 April 2017       Accepted 19 May 2017

©2017 The Korean Ophthalmological Society

(open-access):

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 report a case of one-step operation of persistent pupillary membrane removal, phacoemulsification, and posterior chamber lens implantation that was performed in a patient with persistent pupillary membrane and brunescent cataracts in both eyes.

Case summary

A 64-year-old male with no baseline disease visited our clinic with bilateral decreased visual acuity. His best corrected visual acuity at first visit was 0.1 in the right eye and 0.2 in the left eye. On anterior segment examination, both bilateral persistent pupillary membranes and brunescent cataracts were observed. First, we surgically removed the left pupillary membrane and performed phacoemulsification using posterior chamber lens implantation via one-stage operation. After one week, the same operation was performed for the right eye using the same method. At 6-months postoperative, his best corrected visual acuity was 0.2 in the right eye and 0.8 in the left eye. No complications such as anterior segment inflammation, uveitis, or intraocular pressure elevation were observed during the follow-up period.

Conclusions

We report a case of one-step operation of persistent pupillary membrane removal and cataract operation, which can improve visual acuity without any complications.

Keywords: Cataract, One-step operation, Pupillary membrane

Figures and Tables

Figure 1

Slit lamp photographs of preoperative persistent pupillary membrane of left eye. (A) Before mydriasis. (B) After mydriasis.

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Figure 2

Anterior segment structures as seen under operating microscope showing surgical steps in both eyes. In the left eye, (A) Dispersive ocular viscoelastic device was injected between persistant pupillary membrane and crystalline lens. (B) After appropriate tension to the iris strand was applied by using Phaco Chopper, the operator cut the persistent pupillary mambrane. (C) The remnant iris strands were cut carefully in the same way. (D) Though the persistent pupillary membrane was removed, mydriasis maintained. In the right eye, (E) preopreative persistent pupillary membrane after mydriasis. (F) Mydriasis was also maintained after removing the pupillary membrane.

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Figure 3

Slit lamp photograph 3 months after persistent pupillary membrane removal and phachoemulsification, and posterior chamber lens implantation in left eye. There was no evidence of anterior chamber inflammation and intraocular lens position was also stable.

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