47 years of age, Myopia magna at OD & OS, BCVA 0.8 at OD, 0.1 at OS
General medical history: Empty
Ocular medical history: rhegmatogenous ablatio retinae at OS in 2011. An uncomplicated pars plana vitrectomy was performed.
Main complaint: Continuous deterioration of vision at OS after surgery, no cystoid macular edema.
OBJECTIVE:
To report a postoperative lens complication in a patient, who underwent pars plana vitrectomy.
Findings:
Ophthalmoscopy and slit lamp of anterior segment showing nuclear cataract.
Electronic slit lamp (Pentacam, Oculus) depicting nuclear cataract.
In literature outcome was reported from 70 consecutive eyes that underwent 25-gauge pars plana vitrectomy for various indications with a minimum follow-up of 12 weeks (1). Postoperative complications included cataract progression in 42.5%, cystoid macular edema exacerbation in 7.1%, and retinal detachment in 1.4%. Postoperative cataract progression and hypotony were the most common complications.
Literature:
(1) Gupta OP, Weichel ED, Regillo CD, Fineman MS, Kaiser RS, Ho AC, McNamara JA, Vander JE. Postoperative complications associated with 25-gauge pars plana vitrectomy. Ophthalmic Surg Lasers Imaging.2007 Jul-Aug;38(4):270-5.
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