Kim H, Lim MC, Mannis MJ, Kim ES. Epithelial downgrowth after femtosecond laser-assisted cataract surgery.
Am J Ophthalmol Case Rep 2019;
15:100507. [PMID:
31334385 PMCID:
PMC6616539 DOI:
10.1016/j.ajoc.2019.100507]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 06/20/2019] [Accepted: 06/27/2019] [Indexed: 11/25/2022] Open
Abstract
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.
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