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
Abstract
Michael Singer, M. R. del Cid, Christopher R. Stelton, Terry Boord
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.
OpenAlex reports 5 citations for this work. Citation counts describe recorded attention and do not establish research quality.
A contribution statement is not available in the OpenAlex record.
Method details are not available in the OpenAlex metadata.
Findings are not separately available in the OpenAlex metadata.
Limitations are not available in the OpenAlex metadata.
Application details are not available in the OpenAlex metadata.
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