2010Archives of OphthalmologyRequires access

Pars Plana Posterior Capsulotomy in a Patient With a Telescope Prosthesis for Age-Related Macular Degeneration

Michael Singer, M. R. del Cid, Christopher R. Stelton, Terry Boord

Open publisher page 5 citations

Abstract

OBJECTIVE: To demonstrate a surgical technique for visualization and removal of visually significant posterior capsule opacification (PCO) in a patient with a telescope prosthesis for end-stage age-related macular degeneration, in what is to our knowledge the first reported case of visually significant PCO associated with the use of this device. METHODS: A pars plana capsulotomy using a 25-gauge vitrector was performed to remove PCO. RESULTS: Pars plana capsulotomy was performed and visual acuity improved to pre-PCO levels. Challenges associated with the management of this condition are discussed. CONCLUSIONS: The development of visually significant PCO in patients with a telescope prosthesis is a rare occurrence that poses a unique treatment dilemma. Given the risks of damaging the device with Nd:YAG laser, a method for pars plana capsulotomy using a 25-gauge vitrectomy instrument was determined and successfully performed to remove PCO in a telescope-implanted eye.

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OBJECTIVE: To demonstrate a surgical technique for visualization and removal of visually significant posterior capsule opacification (PCO) in a patient with a telescope prosthesis for end-stage age-related macular degeneration, in what is to our knowledge the first reported case of visually significant PCO associated with the use of this device. METHODS: A pars plana capsulotomy using a 25-gauge vitrector was performed to remove PCO. RESULTS: Pars plana capsulotomy was performed and visual acuity improved to pre-PCO levels. Challenges associated with the management of this condition are discussed. CONCLUSIONS: The development of visually significant PCO in patients with a telescope prosthesis is a rare occurrence that poses a unique treatment dilemma. Given the risks of damaging the device with Nd:YAG laser, a method for pars plana capsulotomy using a 25-gauge vitrectomy instrument was determined and successfully performed to remove PCO in a telescope-implanted eye.

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Available abstract

OBJECTIVE: To demonstrate a surgical technique for visualization and removal of visually significant posterior capsule opacification (PCO) in a patient with a telescope prosthesis for end-stage age-related macular degeneration, in what is to our knowledge the first reported case of visually significant PCO associated with the use of this device. METHODS: A pars plana capsulotomy using a 25-gauge vitrector was performed to remove PCO. RESULTS: Pars plana capsulotomy was performed and visual acuity improved to pre-PCO levels. Challenges associated with the management of this condition are discussed. CONCLUSIONS: The development of visually significant PCO in patients with a telescope prosthesis is a rare occurrence that poses a unique treatment dilemma. Given the risks of damaging the device with Nd:YAG laser, a method for pars plana capsulotomy using a 25-gauge vitrectomy instrument was determined and successfully performed to remove PCO in a telescope-implanted eye.

Key concepts: Pars plana, Capsulotomy, Vitrectomy, Posterior Capsulotomy, Medicine, Ophthalmology, Macular degeneration, Prosthesis

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Pars Plana Posterior Capsulotomy in a Patient With a Telescope Prosthesis for Age-Related Macular Degeneration — Research Paper | ScholarLens