Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up
Purpose: To present a rare case of retinal pigment epithelium (RPE) rupture following YAG laser posterior capsulotomy (YAG PC) in a patient with exudative age-related macular degeneration (AMD). Materials and Methods: An 85-year-old pseudophakic male patient on ranibizumab 0.5 mg/0.05 ml treatment d...
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doaj-d5924ed28b2a4dd58502a43bfad7f3262020-11-24T20:41:30ZengKarger PublishersCase Reports in Ophthalmology1663-26992012-06-013222122510.1159/000339856339856Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-UpAthanasios VardarinosTheodoros EmpeslidisKumar PeriysamyNardine MenassaFatema ShahidShamreen UppalJames DeanePurpose: To present a rare case of retinal pigment epithelium (RPE) rupture following YAG laser posterior capsulotomy (YAG PC) in a patient with exudative age-related macular degeneration (AMD). Materials and Methods: An 85-year-old pseudophakic male patient on ranibizumab 0.5 mg/0.05 ml treatment due to exudative AMD received YAG PC for dense posterior capsule opacification (PCO) in his right eye. The patient had received his last intravitreal ranibizumab injection 3 months before YAG PC; his macula appeared stable on fundoscopy and optical coherence tomography scans at repeated visits, but his vision deteriorated to counting fingers due to PCO. Results: Following left eye posterior YAG PC, his best-corrected visual acuity (BCVA) improved to 6/12 (Snellen chart). Despite satisfactory visual results, the patient developed a parafoveal inferotemporal RPE rupture. A decision for further treatment with ranibizumab (0.5 mg/0.05 ml) intravitreal injections was made. After a total of 7 injections, the patient was clinically stable and his BCVA was 6/18 (Snellen chart). Conclusions: RPE rupture is a well-known, serious complication in patients with exudative AMD, which often has devastating results on patients’ vision. Offering YAG PC to those patients could lead to a rupture of the RPE even in cases which appear to be stable and well controlled. Clinicians should be aware of this complication and inform the patients accordingly.http://www.karger.com/Article/FullText/339856Retinal pigment epithelium tearYAG LaserAge-related macular degenerationPigment epithelial detachment ruptureRanibizumab |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Athanasios Vardarinos Theodoros Empeslidis Kumar Periysamy Nardine Menassa Fatema Shahid Shamreen Uppal James Deane |
spellingShingle |
Athanasios Vardarinos Theodoros Empeslidis Kumar Periysamy Nardine Menassa Fatema Shahid Shamreen Uppal James Deane Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up Case Reports in Ophthalmology Retinal pigment epithelium tear YAG Laser Age-related macular degeneration Pigment epithelial detachment rupture Ranibizumab |
author_facet |
Athanasios Vardarinos Theodoros Empeslidis Kumar Periysamy Nardine Menassa Fatema Shahid Shamreen Uppal James Deane |
author_sort |
Athanasios Vardarinos |
title |
Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up |
title_short |
Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up |
title_full |
Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up |
title_fullStr |
Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up |
title_full_unstemmed |
Tear of Retinal Pigment Epithelium following YAG Laser Posterior Capsulotomy in a Patient on Anti-VEGF Treatment for AMD:Six Months’ Follow-Up |
title_sort |
tear of retinal pigment epithelium following yag laser posterior capsulotomy in a patient on anti-vegf treatment for amd:six months’ follow-up |
publisher |
Karger Publishers |
series |
Case Reports in Ophthalmology |
issn |
1663-2699 |
publishDate |
2012-06-01 |
description |
Purpose: To present a rare case of retinal pigment epithelium (RPE) rupture following YAG laser posterior capsulotomy (YAG PC) in a patient with exudative age-related macular degeneration (AMD). Materials and Methods: An 85-year-old pseudophakic male patient on ranibizumab 0.5 mg/0.05 ml treatment due to exudative AMD received YAG PC for dense posterior capsule opacification (PCO) in his right eye. The patient had received his last intravitreal ranibizumab injection 3 months before YAG PC; his macula appeared stable on fundoscopy and optical coherence tomography scans at repeated visits, but his vision deteriorated to counting fingers due to PCO. Results: Following left eye posterior YAG PC, his best-corrected visual acuity (BCVA) improved to 6/12 (Snellen chart). Despite satisfactory visual results, the patient developed a parafoveal inferotemporal RPE rupture. A decision for further treatment with ranibizumab (0.5 mg/0.05 ml) intravitreal injections was made. After a total of 7 injections, the patient was clinically stable and his BCVA was 6/18 (Snellen chart). Conclusions: RPE rupture is a well-known, serious complication in patients with exudative AMD, which often has devastating results on patients’ vision. Offering YAG PC to those patients could lead to a rupture of the RPE even in cases which appear to be stable and well controlled. Clinicians should be aware of this complication and inform the patients accordingly. |
topic |
Retinal pigment epithelium tear YAG Laser Age-related macular degeneration Pigment epithelial detachment rupture Ranibizumab |
url |
http://www.karger.com/Article/FullText/339856 |
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