Presented at: American Academy of Ophthalmology Annual Meeting, November 2006, Las Vegas, Nevada.
Received 10 October 2006; received in revised form 21 January 2007; accepted 9 February 2007. published online 25 May 2007.
Purpose
To report an unusual cause of decreased vision in an aphakic patient.
Design
Interventional case report.
Participant
One patient.
Intervention
An 80-year-old woman presented with a myopic shift and decreased visual acuity in the left eye 16 years after extracapsular cataract extraction (ECCE) without intraocular lens (IOL) implantation. Slit-lamp examination after pupil dilation revealed a milky fluid accumulation between the posterior lens capsule and the anterior hyaloid membrane. A neodymium:yttrium-aluminium-garnet (Nd:YAG) laser hyaloidotomy was performed on the anterior hyaloid membrane.
Main Outcome Measures
Refraction and best-corrected visual acuity.
Results
The Nd:YAG laser hyaloidotomy allowed the trapped fluid to flow into the vitreous cavity. The myopic shift disappeared immediately and visual acuity improved.
Conclusions
To our knowledge, this is the first report of a late-onset hyaloideocapsular block syndrome after ECCE without IOL implantation.
Available online: May 25, 2007.
Service Ophtalmologie, Hôpital Purpan, Toulouse, France.
Correspondence to Dr Pierre Fournié, Service d’Ophtalmologie, Hôpital Purpan, Place du Docteur Baylac, 31 059 Toulouse Cedex 9, France.
Manuscript no. 2006-1146.
The authors have no commercial or proprietary interest in the products or companies mentioned in the article.
ABSTRACT