A Case of Uneventful Cataract Surgery in Idiopathic True Exfoliation Patient.

Kim, Gyu Ah; Seo, Kyoung Yul; Ahn, Ji Min

doi:2014.55.5.766

J Korean Ophthalmol Soc > Volume 55(5); 2014 > Article

Case Report

Journal of the Korean Ophthalmological Society 2014;55(5):766-769.
DOI: https://doi.org/10.3341/jkos.2014.55.5.766 Published online May 15, 2014.

A Case of Uneventful Cataract Surgery in Idiopathic True Exfoliation Patient.

Gyu Ah Kim, Kyoung Yul Seo, Ji Min Ahn

¹Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
²Siloam Eye Hospital, Seoul, Korea. 24mini@naver.com

특발성 진성 수정체낭 분리 환자에서의 백내장 수술 1예

김규아^1,2⋅서경률¹⋅안지민²

Department of Ophthalmology and The Institute of Vision Research, Yonsei University College of Medicine¹, Seoul, Korea
Siloam Eye Hospital², Seoul, Korea

Abstract

PURPOSE
We present a case of uneventful cataract surgery in an idiopathic true exfoliation patient with areas of capsular delamination based on scanning electron microscope and transmission electron microscope results. CASE SUMMARY: A 77-year-old male presented with gradual deterioration of vision over 1 year in duration. Slit lamp examination revealed bilateral nuclear sclerotic cataracts with ring-shaped fibrous membrane floating within the anterior chamber in the right eye. In addition, the patient was diagnosed with cataract and true exfoliation of the right eye. He underwent uneventful phacoemulsification and posterior chamber intraocular lens implantation by placing capsulorrhexis outside the delaminated capsule margin. At 6 months after cataract surgery, the patient showed favorable visual outcome with uncorrected vision of 20/20 and intraocular pressure of 18 mm Hg in the right eye.

Key Words: Capsulorrhexis;Cataract;Idiopathic true exfoliation