Epithelial downgrowth after femtosecond laser-assisted cataract surgery
Purpose: To present the case of a 72-year-old female with epithelial downgrowth after femtosecond laser-assisted cataract surgery. Observations: The patient previously underwent YAG vitreolysis after uncomplicated femtosecond laser-assisted cataract surgery and presented 1 year later with epithelial...
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doaj-4fed1afc5cbe443b9e9a07fa17a391cd2020-11-24T22:15:25ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-09-0115Epithelial downgrowth after femtosecond laser-assisted cataract surgeryHan Kim0Michele C. Lim1Mark J. Mannis2Esther S. Kim3Department of Ophthalmology & Vision Science, University of California, Davis, 4860 Y Street, Suite 2400, Sacramento, CA, 95817, USACorresponding author. 4860 Y St, Suite 2400 Sacramento, CA, 95817, USA.; Department of Ophthalmology & Vision Science, University of California, Davis, 4860 Y Street, Suite 2400, Sacramento, CA, 95817, USADepartment of Ophthalmology & Vision Science, University of California, Davis, 4860 Y Street, Suite 2400, Sacramento, CA, 95817, USADepartment of Ophthalmology & Vision Science, University of California, Davis, 4860 Y Street, Suite 2400, Sacramento, CA, 95817, USAPurpose: To present the case of a 72-year-old female with epithelial downgrowth after femtosecond laser-assisted cataract surgery. Observations: The patient previously underwent YAG vitreolysis after uncomplicated femtosecond laser-assisted cataract surgery and presented 1 year later with epithelial downgrowth causing complete pupillary block and severe angle closure glaucoma. Subsequent management with nd:YAG peripheral iridotomies failed rapidly leading to a confusing presentation with a flat anterior chamber and high intraocular pressure ultimately requiring surgical management. Conclusions: We describe the occurrence of epithelial downgrowth after femtosecond laser-assisted cataract surgery and illustrate the utility of ultrasound biomicroscopy to differentiate between severe pupillary block and malignant glaucoma. Keywords: Epithelial downgrowth, Epithelial ingrowth, Pupillary membrane, nd:YAG capsulotomy, Femtosecond laser-assisted cataract surgery, Ultrasound biomicroscopy, Pupillary block, Secondary angle closure glaucomahttp://www.sciencedirect.com/science/article/pii/S2451993618302597 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Han Kim Michele C. Lim Mark J. Mannis Esther S. Kim |
spellingShingle |
Han Kim Michele C. Lim Mark J. Mannis Esther S. Kim Epithelial downgrowth after femtosecond laser-assisted cataract surgery American Journal of Ophthalmology Case Reports |
author_facet |
Han Kim Michele C. Lim Mark J. Mannis Esther S. Kim |
author_sort |
Han Kim |
title |
Epithelial downgrowth after femtosecond laser-assisted cataract surgery |
title_short |
Epithelial downgrowth after femtosecond laser-assisted cataract surgery |
title_full |
Epithelial downgrowth after femtosecond laser-assisted cataract surgery |
title_fullStr |
Epithelial downgrowth after femtosecond laser-assisted cataract surgery |
title_full_unstemmed |
Epithelial downgrowth after femtosecond laser-assisted cataract surgery |
title_sort |
epithelial downgrowth after femtosecond laser-assisted cataract surgery |
publisher |
Elsevier |
series |
American Journal of Ophthalmology Case Reports |
issn |
2451-9936 |
publishDate |
2019-09-01 |
description |
Purpose: To present the case of a 72-year-old female with epithelial downgrowth after femtosecond laser-assisted cataract surgery. Observations: The patient previously underwent YAG vitreolysis after uncomplicated femtosecond laser-assisted cataract surgery and presented 1 year later with epithelial downgrowth causing complete pupillary block and severe angle closure glaucoma. Subsequent management with nd:YAG peripheral iridotomies failed rapidly leading to a confusing presentation with a flat anterior chamber and high intraocular pressure ultimately requiring surgical management. Conclusions: We describe the occurrence of epithelial downgrowth after femtosecond laser-assisted cataract surgery and illustrate the utility of ultrasound biomicroscopy to differentiate between severe pupillary block and malignant glaucoma. Keywords: Epithelial downgrowth, Epithelial ingrowth, Pupillary membrane, nd:YAG capsulotomy, Femtosecond laser-assisted cataract surgery, Ultrasound biomicroscopy, Pupillary block, Secondary angle closure glaucoma |
url |
http://www.sciencedirect.com/science/article/pii/S2451993618302597 |
work_keys_str_mv |
AT hankim epithelialdowngrowthafterfemtosecondlaserassistedcataractsurgery AT micheleclim epithelialdowngrowthafterfemtosecondlaserassistedcataractsurgery AT markjmannis epithelialdowngrowthafterfemtosecondlaserassistedcataractsurgery AT estherskim epithelialdowngrowthafterfemtosecondlaserassistedcataractsurgery |
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