Iatrogenic Posterior Lens Capsule Rupture and Subsequent Complications due to Nd:YAG Laser Vitreolysis for Vitreous Floaters: A Case Report

Ophthalmic Surg Lasers Imaging Retina. 2018 Nov 1;49(11):e214-e217. doi: 10.3928/23258160-20181101-21.

Abstract

Nd:YAG laser vitreolysis has been used as a noninvasive approach to treat visually significant vitreous strands and floaters. However, severe vision-threatening complications may occur. The authors describe a rare case of a 60-year-old woman who had suffered rupture of the posterior lens capsule with subsequent cataract formation 1 week post-Nd:YAG laser vitreolysis in the right eye. The authors performed phacoemulsification, pars plana vitrectomy, and intraocular lens implantation at the ciliary sulcus. At 1 month post-surgery, the patient's visual acuity had not recovered well and optical coherence tomography showed epiretinal membrane (ERM) formation. Thus, she underwent secondary pars plana vitrectomy for ERM removal. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:e214-e217.].

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Iatrogenic Disease
  • Lasers, Solid-State / adverse effects*
  • Middle Aged
  • Phacoemulsification / methods
  • Posterior Capsule of the Lens / injuries*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology*
  • Postoperative Complications / surgery
  • Reoperation
  • Rupture
  • Visual Acuity*
  • Vitrectomy / adverse effects*
  • Vitrectomy / methods