Nd:YAG capsulotomy for the management of posterior capsular amyloidosis
Purpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to...
| Published in: | American Journal of Ophthalmology Case Reports |
|---|---|
| Main Authors: | , , |
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-03-01
|
| Online Access: | http://www.sciencedirect.com/science/article/pii/S245199361730378X |
| _version_ | 1852811206672252928 |
|---|---|
| author | Sasha A. Mansukhani Jose S. Pulido Sunil S. Khanna |
| author_facet | Sasha A. Mansukhani Jose S. Pulido Sunil S. Khanna |
| author_sort | Sasha A. Mansukhani |
| collection | DOAJ |
| container_title | American Journal of Ophthalmology Case Reports |
| description | Purpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to the posterior capsule of the lens. Phacoemulsification followed by neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy was helpful in restoring vision. Conclusions and importance: Amyloid can reaccumulate in Berger's space, which is difficult to reach in phakic eyes during vitrectomy and can then cause decreased vision. Recognition of this interesting anatomic problem will allow for faster visual rehabilitation of the patient. Keywords: Recurrent ocular amyloidosis, Posterior capsular amyloid, Nd:YAG capsulotomy |
| format | Article |
| id | doaj-art-9c00e95877bf4e8c92c6cdbb413dcdcb |
| institution | Directory of Open Access Journals |
| issn | 2451-9936 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Elsevier |
| record_format | Article |
| spelling | doaj-art-9c00e95877bf4e8c92c6cdbb413dcdcb2025-08-19T20:36:08ZengElsevierAmerican Journal of Ophthalmology Case Reports2451-99362019-03-0113505210.1016/j.ajoc.2018.11.002Nd:YAG capsulotomy for the management of posterior capsular amyloidosisSasha A. Mansukhani0Jose S. Pulido1Sunil S. Khanna2Department of Ophthalmology, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USADepartment of Ophthalmology, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USACorresponding author.; Department of Ophthalmology, Mayo Clinic, 200 First Street, SW, Rochester, MN, 55905, USAPurpose: To describe the accumulation of amyloid in Berger's space. Observations: A 35-year-old man with autosomal-dominant, familial transthyretin-associated amyloidosis and bilateral vitreous opacities had a recurrence of amyloidosis following vitrectomy. The recurrent amyloid was attached to the posterior capsule of the lens. Phacoemulsification followed by neodymium:yttrium-aluminum-garnet (Nd:YAG) capsulotomy was helpful in restoring vision. Conclusions and importance: Amyloid can reaccumulate in Berger's space, which is difficult to reach in phakic eyes during vitrectomy and can then cause decreased vision. Recognition of this interesting anatomic problem will allow for faster visual rehabilitation of the patient. Keywords: Recurrent ocular amyloidosis, Posterior capsular amyloid, Nd:YAG capsulotomyhttp://www.sciencedirect.com/science/article/pii/S245199361730378X |
| spellingShingle | Sasha A. Mansukhani Jose S. Pulido Sunil S. Khanna Nd:YAG capsulotomy for the management of posterior capsular amyloidosis |
| title | Nd:YAG capsulotomy for the management of posterior capsular amyloidosis |
| title_full | Nd:YAG capsulotomy for the management of posterior capsular amyloidosis |
| title_fullStr | Nd:YAG capsulotomy for the management of posterior capsular amyloidosis |
| title_full_unstemmed | Nd:YAG capsulotomy for the management of posterior capsular amyloidosis |
| title_short | Nd:YAG capsulotomy for the management of posterior capsular amyloidosis |
| title_sort | nd yag capsulotomy for the management of posterior capsular amyloidosis |
| url | http://www.sciencedirect.com/science/article/pii/S245199361730378X |
| work_keys_str_mv | AT sashaamansukhani ndyagcapsulotomyforthemanagementofposteriorcapsularamyloidosis AT josespulido ndyagcapsulotomyforthemanagementofposteriorcapsularamyloidosis AT sunilskhanna ndyagcapsulotomyforthemanagementofposteriorcapsularamyloidosis |