Postmortem microscopic evaluation and clinical correlation of a pseudophakic eye with pseudoexfoliation and loss of zonular support
Authors:
- Allan F. OryschakAOAllan F. Oryschak
- John A. McWhaeJMJohn A. McWhae
- Andrew W. KirkerAKAndrew W. Kirker
- Hernando Chacon-AndradeHCHernando Chacon-Andrade
- 1 January 2007
- journal article
- case report
- Published by Wolters Kluwer Health in Journal of Cataract & Refractive Surgery
- Vol. 33 (1) , 162-165
Abstract
We describe a pseudophakic patient with pseudoexfoliation who developed late intraocular lens (IOL) instability manifested by pseudophakodonesis, a change in refraction, and loss of glaucoma control. The patient subsequently required glaucoma surgery that was complicated by vitreous loss. Preoperative ultrasound biomicroscopy (UBM) failed to provide useful information regarding the zonular status. The patient died as a result of a malignancy, and the eye was donated for research. Anatomical evaluation confirmed the clinical impression of IOL placement in the bag and zonular laxity. Postmortem UBM helped explain some of the technical difficulties in examining zonules in the pseudophakic state.Keywords
This publication has 9 references indexed in Scilit:
- Ultrasound biomicroscopy for the assessment of zonules after ocular traumaOphthalmology, 2003
- Spontaneous late dislocation of intraocular lens within the capsular bag in pseudoexfoliation patientsOphthalmology, 2001
- Microhook capsule stabilization for phacoemulsification in eyes with pseudoexfoliation-syndrome-induced lens instabilityJournal of Cataract & Refractive Surgery, 1999
- Combined phacoemulsification and goniotrephination on eyes with primary open-angle glaucoma and classical pseudoexfoliation glaucomaDer Ophthalmologe, 1999
- Late dislocation of the capsular bag after phacoemulsification with intraocular lens implantation in pseudoexfoliation syndrome (PES)Der Ophthalmologe, 1999
- Pseudoexfoliation Syndrome: A Cohort Study on Intraoperative Complications in Cataract SurgeryOphthalmologica, 1998
- Prevalence and surgical complications of pseudoexfoliation syndrome in Portuguese patients with senile cataractJournal of Cataract & Refractive Surgery, 1996
- Dislocation of the Lens Nucleus Into the Vitreous Cavity After Standard HydrodissectionAmerican Journal of Ophthalmology, 1996
- Pseudoexfoliation syndrome: Clinical factors related to capsular rupture in cataract surgeryActa Ophthalmologica, 1993