One Step Operation of the Persistent Pupillary Membrane Removal and Cataract Operation: A Case Report
- Affiliations
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- 1Department of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. sonicnet@hanmail.net
- KMID: 2382684
- DOI: http://doi.org/10.3341/jkos.2017.58.6.731
Abstract
- PURPOSE
We report a case of one-step operation of persistent pupillary membrane removal, phacoemulsification, and posterior chamber lens implantation that was performed in a patient with persistent pupillary membrane and brunescent cataracts in both eyes.
CASE SUMMARY
A 64-year-old male with no baseline disease visited our clinic with bilateral decreased visual acuity. His best corrected visual acuity at first visit was 0.1 in the right eye and 0.2 in the left eye. On anterior segment examination, both bilateral persistent pupillary membranes and brunescent cataracts were observed. First, we surgically removed the left pupillary membrane and performed phacoemulsification using posterior chamber lens implantation via one-stage operation. After one week, the same operation was performed for the right eye using the same method. At 6-months postoperative, his best corrected visual acuity was 0.2 in the right eye and 0.8 in the left eye. No complications such as anterior segment inflammation, uveitis, or intraocular pressure elevation were observed during the follow-up period.
CONCLUSIONS
We report a case of one-step operation of persistent pupillary membrane removal and cataract operation, which can improve visual acuity without any complications.
Keyword
MeSH Terms
Figure
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Figure 1 Slit lamp photographs of preoperative persistent pupillary membrane of left eye. (A) Before mydriasis. (B) After mydriasis.
Figure 2 Anterior segment structures as seen under operating microscope showing surgical steps in both eyes. In the left eye, (A) Dispersive ocular viscoelastic device was injected between persistant pupillary membrane and crystalline lens. (B) After appropriate tension to the iris strand was applied by using Phaco Chopper, the operator cut the persistent pupillary mambrane. (C) The remnant iris strands were cut carefully in the same way. (D) Though the persistent pupillary membrane was removed, mydriasis maintained. In the right eye, (E) preopreative persistent pupillary membrane after mydriasis. (F) Mydriasis was also maintained after removing the pupillary membrane.
Figure 3 Slit lamp photograph 3 months after persistent pupillary membrane removal and phachoemulsification, and posterior chamber lens implantation in left eye. There was no evidence of anterior chamber inflammation and intraocular lens position was also stable.
Reference
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