Abstract
Purpose
To describe a case of severe anterior capsular contraction associated with choroidal effusion in a 81 year old female with primary open angle glaucoma undergoing routine phacoemulsification cataract surgery.
CASE REPORT
Eight weeks following surgery the anterior capsule opening had reduced to 3 mm in size. Intraocular pressure was found to be 4 mmHg and B scan ultrasound revealed a large choroidal effusion. Anterior capsulotomy with Nd:YAG laser was performed. At review, two weeks later, the choroidal effusion had resolved and visual acuity had recovered.
CONCLUSIONS
The Nd:YAG laser radial relaxing capsulotomies helped relieve the capsular contraction and associated traction on the ciliary body.
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