Anterior Capsule Phimosis in Myotonic Dystrophy

Show Description +

A 15-year-old female with myotonic dystrophy presented with progressively decreased vision three months after cataract surgery and was found to have a dense anterior capsular opacification over the intraocular lens. The membrane was not amenable to YAG capsulotomy and a surgical membranectomy was indicated.

Posted: 11/14/2016

Anterior Capsule Phimosis in Myotonic Dystrophy

A 15-year-old female with myotonic dystrophy presented with progressively decreased vision three months after cataract surgery and was found to have a dense anterior capsular opacification over the intraocular lens. The membrane was not amenable to YAG capsulotomy and a surgical membranectomy was indicated.

Posted: 11/14/2016

Please log in to leave a comment.

Comments

k khan

8 years ago

Why was vitreous infusion necessary? Seems like viscoelastic in the anterior chamber would have served the purpose.

Michael Klufas

8 years ago

That would be another option,but, it was unclear if a posterior capsulotomy would be required at this surgery. Therefore the anterior capsule was opened first. The view improved to the posterior pole and the posterior capsule was left in place. If a significant posterior capsular membrane was in place it would have been removed and a full vitrectomy would have been performed.